Funduplicatura de Nissen laparoscópico en el tratamiento de la enfermedad por reflujo gastroesofágico. Hospital Vicente Corral Moscoso. Cuenca, 1997-2008

Abstract

Introduction: Approximately between 25 and 50 percent of patients with gastroesophageal reflux disease (GERD) have persistent progressive disease in them, surgery is the best option and the only resource able of restoring the gastroesophageal barrier. The Nissen fundoplication of choice, is performed by laparoscopy since February 1997 in our hospital. Objective: To describe demographic and clinical aspects of patients undergoing laparoscopic Nissen fundoplication at Vicente Corral Moscoso Hospi - tal. Method: Empirical method will be applied to facilite the collection and analysis of data as videos statistical records and surgery of laparos - copic Nissen fundoplications. Results: From February 1997 to July 2008, there were 58 fundoplications, 36 men and 22 women, with an average age of 42 years old. Predominant symptoms as heartburn, regurgitation, abdominal pain and dysphagia. Diagnosed by upper endoscopy and upper gastrointestinal series at all. Immediate postoperative complications: September ileus, dysphagia 5, urinary retention 4. Mean operative time: 181 minutes in 1997, 102 minutes in 2008. Hospital stay: 4 days. 49 patients were fed in 24 hours. No conversion or mortality. Conclusions: Laparoscopic surgery in the treatment of GERD is increasing and is an effective long- term treatment. But surgeons must also review the successes, mistakes, complications and limi - tations of these long-term applications with more variable