PubMed · 8546310
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
C D Hanning, P S Veitch. 1995. Pneumothorax and laparoscopic fundoplication.. https://doi.org/10.1111/j.1365-2044.1995.tb05976.x
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Explore the source record for details and available documents.
Gastroesophageal reflux disease is very common, and there continues to be a need for gastroesophageal reflux surgery despite improved medical therapy. With the relatively new option of laparoscopic antireflux surgery, many more of these procedures are now being performed. In order to perform these well, one must select patients carefully, evaluate them fully, and adhere to the technical principles required to achieve consistently good results.
Symptoms of gastroesophageal reflux are common in the general population. Pathophysiological factors of importance include esophageal and gastric motility, hiatal hernia, acid secretion as well as anatomical and hormonal factors. In the eye of the surgeon several of the most important factors for severe reflux can be corrected surgically. These include lower esophageal sphincter pressure, esophageal intra-abdominal length and hiatal hernia. The result of surgery is dependent on whether the patient has symptoms related to gastroesophageal reflux or not. It is important that disease history symptoms and pathophysiological findings at investigations match. We have found that not all physiological investigations have to be pathological. Symptomatic response to profound acid inhibition is essential, however, and patients not responding to a high dosage of proton-pump inhibitors should be reconsidered.