Publikation

Laparoscopic mesh-augmented hiatoplasty as a treatment of gastroesophageal reflux disease and hiatal hernias-preliminary clinical and functional results of a prospective case series

Wissenschaftlicher Artikel/Review - 01.06.2008

Bereiche
PubMed
DOI

Zitation
Müller-Stich B, Gutt C, Köninger J, Mehrabi A, Lange J, Warschkow R, Marra F, Borovicka J, Linke G, Zerz A. Laparoscopic mesh-augmented hiatoplasty as a treatment of gastroesophageal reflux disease and hiatal hernias-preliminary clinical and functional results of a prospective case series. American journal of surgery 2008; 195:749-56.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
American journal of surgery 2008; 195
Veröffentlichungsdatum
01.06.2008
eISSN (Online)
1879-1883
Seiten
749-56
Kurzbeschreibung/Zielsetzung

BACKGROUND: Because fundoplication-related side effects are frequent, we evaluated laparoscopic mesh-augemented hiatoplasty (LMAH) as a potential treatment option for gastroesophageal reflux disease and/or symptomatic hiatal herania. LMAH aims to prevent reflux solely by mesh-reinforced narrowing of the hiatus and lengthening of the intra-abdominal esophagus. METHODS: Twenty-two consecutive patients with LMAH were evaluated prospectively using a modified Gastrointestinal Symptom Rating Scale questionnaire, pH measurement, manometry, and endoscopy. Follow-up was scheduled at 3 and 12 months after surgery. RESULTS: Total reflux decreased from 16.3% before surgery to 3.5% 3 months after surgery (P = .001). The reflux score decreased from 3.8 before surgery to 2.1 1 year after surgery (P = .001). The respective values of the indigestion score were 3.4 and 2.0 (P < .001). After surgery, all patients were able to belch. Vomiting was impossible only for 2 patients, and 90% of patients assessed their results as good to excellent. CONCLUSIONS: LMAH seems to be feasible, safe, and has no significant side effects.