Cure du reflux gastro-oesophagien de l’adulte par voie laparoscopique: résultats d’une série de 30 cas

Abstract

The fundoplication conventionally given in open surgery in the surgical treatment of gastroesophageal reflux disease (GERD) are reproducible with laparoscopic way. The aim of this study was to evaluate our results of surgical treatment of GERD refractory to medical treatment performed laparoscopically. Between 2005 and 2008, 30 patients underwent fundoplication in this way. The diagnosis of GERD was suspected clinically and confirmed in spite of lack of esophageal manometry and pH-metry by the barium esophagogram and endoscopy. Three fundoplication techniques were used in the series: Nissen-Rossetti, Toupet and Nissen. The postoperative course was uneventful with a carrying on of oral feeding on postoperative day 3, an average hospital stay of five days and low transient dysphagia. Laparoscopic fundoplication is currently the consensual surgical treatment of GERD. The debate on the type of fundoplication is not closed but the introduction of laparoscopy in our practice has improved the acceptability of surgery especially in younger patients in good health frequent relapses.