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Effect of laparoscopic fundoplication treatment
on gastroesophageal reflux disease-related respiratory symptoms |
| Zhong-Gao WANG MD, FACS1,Feng JI MD, PhD2,Yun-Gang LAI MD, PhD2,Xiang GAO MD, PhD2,Cheng-Chao ZHANG MD, PhD2,Ji-Min WU MD, PhD3,Xiu CHEN MD, PhD3,Ibrahim M. IBRAHIM MD, FACS4, |
| 1.Cardiovascular Surgery,
Xuan Wu Hospital, Capital University of Medical Science, Beijing 100053,
China；Center for GERD, Second
Artillery General Hospital, Beijing 100088, China; 2.Cardiovascular Surgery,
Xuan Wu Hospital, Capital University of Medical Science, Beijing 100053,
China; 3.Center for GERD, Second
Artillery General Hospital, Beijing 100088, China; 4.Department of Surgery,
Hospital & Medical Center Englewood, Englewood, NJ 07631, USA; |
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Abstract Gastroesophageal reflux disease (GERD) was diagnosed and fundoplication was performed, which relieved the symptoms. This paper explores the effect of fundoplication on GERD-related respiratory symptoms. From January 2007 to October 2008, 64 patients with respiratory symptoms related to GERD were consecutively enrolled for laparoscopic fundoplication. Of these, 60 patients had respiratory symptoms mainly combined with gastroesophageal reflux, while four had respiratory symptoms only. All patients had GERD confirmed, and medical treatment provided before surgery resulted in an insufficiently favorable effect or even producing further complications. All the patients were requested to fill a questionnaire form regarding the severity of symptoms and their medication so as to make an evaluation score for the follow-up. The outcome of respiratory symptoms after surgery was as follows: excellent in 23 cases (35.9%); good in 28 (43.8%); fair in 5 (7.8%); poor in 8 (12.5%). The mean respiratory symptom score decreased from 6.3±2.65 to 2.33±2.37. Laparoscopic fundoplication can be an effective treatment for the majority of patients with GERD-related respiratory symptoms.
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| Keywords
gastroesophageal reflux disease
pH monitoring
laparoscopic fundoplication
respiratory symptom
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Issue Date: 05 June 2010
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