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Type: Journal article
Title: Preoperative endoscopic grading of esophagitis versus outcome after laparoscopic Nissen fundoplication
Author: Watson, D.
Foreman, D.
Devitt, P.
Jamieson, G.
Citation: American Journal of Gastroenterology, 1997; 92(2):222-225
Issue Date: 1997
ISSN: 0002-9270
Abstract: <h4>Objectives</h4>Preoperative grading of esophagitis has recently been advocated as a means of selecting patients suitable either for laparoscopic Nissen fundoplication for patients with uncomplicated esophagitis, or for open operations in patients with complicated esophagitis (stricture or Barrett's esophagus). This study was performed to determine whether the degree of esophagitis preoperatively influences the clinical outcome after laparoscopic Nissen fundoplication.<h4>Methods</h4>Two hundred thirty-one patients who underwent a laparoscopic Nissen fundoplication were classified into three groups according esophagitis grade. Of these patients, 59 had no evidence of endoscopic esophagitis (group 1), 148 had uncomplicated esophagitis (group 2), and 24 had Barrett's esophagus or an esophageal stricture (group 3). Postoperative clinical assessment of heartburn, dysphagia, and patient satisfaction using visual analogue scales was performed by an independent investigator.<h4>Results</h4>No significant differences were found between the groups in regard to their clinical outcome.<h4>Conclusions</h4>We conclude that laparoscopic Nissen fundoplication is a suitable approach for all patients with objectively proven gastroesophageal reflux disease selected for surgery, irrespective of their preoperative esophagitis grade.
Keywords: Humans
Barrett Esophagus
Gastroesophageal Reflux
Esophageal Stenosis
Treatment Outcome
Preoperative Care
Aged, 80 and over
Middle Aged
Patient Satisfaction
Appears in Collections:Aurora harvest
Surgery publications

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