BACKGROUND: Laparoscopic fundoplication represents the surgical standard treatment of gastroesophageal reflux disease. However, because of persisting side effects the method is not without controversy. Laparoscopic mesh-augmented hiatoplasty might be an alternative. METHODS: In 306 consecutive patients the perioperative course and symptomatic outcome was analyzed after a mean follow-up period of 52 months. RESULTS: The mean DeMeester symptom score decreased from 5.3 to 2.0 (P < .001). Acid-suppressive therapy on a regular basis was discontinued in 79% of patients. The gas bloating value decreased from .7 to .5 (P = .031), and the dysphagia value increased from .5 to .9 (P < .001). Belching and vomiting were possible in 93% and 88% of patients, respectively. Mesh-related complications with the need for reoperation occurred in 1% of patients. CONCLUSIONS: Laparoscopic mesh-augmented hiatoplasty is safe and does have an antireflux effect even without fundoplication. Side effects seem to be reasonable.
BACKGROUND: Laparoscopic fundoplication represents the surgical standard treatment of gastroesophageal reflux disease. However, because of persisting side effects the method is not without controversy. Laparoscopic mesh-augmented hiatoplasty might be an alternative. METHODS: In 306 consecutive patients the perioperative course and symptomatic outcome was analyzed after a mean follow-up period of 52 months. RESULTS: The mean DeMeester symptom score decreased from 5.3 to 2.0 (P < .001). Acid-suppressive therapy on a regular basis was discontinued in 79% of patients. The gas bloating value decreased from .7 to .5 (P = .031), and the dysphagia value increased from .5 to .9 (P < .001). Belching and vomiting were possible in 93% and 88% of patients, respectively. Mesh-related complications with the need for reoperation occurred in 1% of patients. CONCLUSIONS: Laparoscopic mesh-augmented hiatoplasty is safe and does have an antireflux effect even without fundoplication. Side effects seem to be reasonable.
Authors: B P Müller-Stich; J D Senft; F Lasitschka; M Shevchenko; A T Billeter; T Bruckner; H G Kenngott; L Fischer; T Gehrig Journal: Hernia Date: 2014-08-27 Impact factor: 4.739
Authors: Beat P Müller-Stich; Arianeb Mehrabi; Hannes G Kenngott; Hamidreza Fonouni; Michael A Reiter; Gani Kuttymoratov; Felix Nickel; Georg R Linke; Ivo Wolf; Jörg Köninger; Carsten N Gutt Journal: Surg Endosc Date: 2008-10-15 Impact factor: 4.584
Authors: Katarzyna Blazejczyk; Andreas Hoene; Anne Glitsch; Alexandra Busemann; Claus Dieter Heidecke; Maciej Patrzyk Journal: Langenbecks Arch Surg Date: 2013-09-15 Impact factor: 3.445
Authors: Beat P Müller-Stich; Hannes G Kenngott; Matthias Gondan; Christian Stock; Georg R Linke; Franziska Fritz; Felix Nickel; Markus K Diener; Carsten N Gutt; Moritz Wente; Markus W Büchler; Lars Fischer Journal: PLoS One Date: 2015-10-15 Impact factor: 3.240
Authors: Georg R Linke; Tobias Gehrig; Lena V Hogg; Anna Göhl; Hannes Kenngott; Fritz Schäfer; Lars Fischer; Carsten N Gutt; Beat P Müller-Stich Journal: Surg Today Date: 2013-05-14 Impact factor: 2.549