Laparoscopic Fundoplication for Reflux Esophagitis of aged patients : Report of Five Cases

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  • Adachi Junichiro
    Department of Surgery, Shiroyama Hospital
  • Fukoue Yoshihiro
    Department of Surgery, Shiroyama Hospital
  • Murakami Masahiko
    Department of Surgery Division of General & Gastroenterological Surgery, Showa University, School of Medicine
  • Hanada Hiroyuki
    Department of Surgery, Shiroyama Hospital
  • Lee Ugen
    Department of Surgery, Shiroyama Hospital
  • Otsuka Kouji
    Department of Surgery Division of General & Gastroenterological Surgery, Showa University, School of Medicine
  • Goto Satoru
    Department of Surgery Division of General & Gastroenterological Surgery, Showa University, School of Medicine
  • Kusano Mitsuo
    Department of Surgery Division of General & Gastroenterological Surgery, Showa University, School of Medicine

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Other Title
  • 高齢者逆流性食道炎に対する腹腔鏡下手術の経験

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Description

We performed laparoscopic fundoplication on five aged patients (mean age was 75.5 years) with reflux esophagitis. Three cases complicated mixed type hiatus hernia. Two patients had grade B, one patient had grade C, and two patients had grade D reflux esophagitis (according to Los Angeles classification) . Nissen fundoplication on Three patients and Toupet fundoplication on two patients were performed with no complication. Mean operation time was 142.5±40.5 minutes. Preoperative symptoms were improved in all patients. The mean follow-up period was 9.4 months between June 1999 and January 2002, and no symptom recurred.<br> In conclusion, Laparoscopic fundoplication is useful for aged patients because it is less invasive and provides good result.

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