Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014.

Abstract:

BACKGROUND/AIMS:Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea. METHODS:Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed. RESULTS:A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%. CONCLUSIONS:This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms.

journal_name

Gut Liver

journal_title

Gut and liver

authors

Lee JH,Park JM,Han SU,Kim JJ,Song KY,Ryu SW,Seo KW,Kim HI,Kim W,Korean Antireflux Surgery Study (KARS) Group.

doi

10.5009/gnl15406

subject

Has Abstract

pub_date

2016-09-15 00:00:00

pages

726-30

issue

5

eissn

1976-2283

issn

2005-1212

pii

gnl15406

journal_volume

10

pub_type

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