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논문 기본 정보

자료유형
학술저널
저자정보
Chang Min Lee (Korea University College of Medicine) Joong-Min Park (Chung-Ang University College of Medicine) Han Hong Lee (The Catholic University of Korea) Kyong Hwa Jun (The Catholic University of Korea) Sungsoo Kim (Chosun University College of Medicine) Kyung Won Seo (Kosin University College of Medicine) Sungsoo Park (Korea University College of Medicine) Jong-Han Kim (Korea University College of Medicine) Jin-Jo Kim (The Catholic University of Korea) Sang-Uk Han (Ajou University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.6
발행연도
2018.6
수록면
298 - 305 (8page)

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초록· 키워드

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Purpose: Laparoscopic total fundoplication is the standard surgery for gastroesophageal reflux disease. However, partial fundoplication may be a viable alternative. Here, we conducted a nationwide survey of partial fundoplication in Korea.
Methods: The Korean Anti-Reflux Surgery study group recorded 32 cases of partial fundoplication at eight hospitals between September 2009 and January 2016. The surgical outcomes and postoperative adverse symptoms in these cases were evaluated and compared with 86 cases of total fundoplication.
Results: Anterior partial fundoplication was performed in 20 cases (62.5%) and posterior in 12 (37.5%). In most cases, partial fundoplication was a secondary procedure after operations for other conditions. Half of patients who underwent partial fundoplication had typical symptoms at the time of initial diagnosis, and most of them showed excellent (68.8%), good (25.0%), or fair (6.3%) symptom resolution at discharge. Compared to total fundoplication, partial fundoplication showed no difference in the resolution rate of typical and atypical symptoms. However, adverse symptoms such as dysphagia, difficult belching, gas bloating and flatulence were less common after partial fundoplication.
Conclusion: Although antireflux surgery is not popular in Korea and total fundoplication is the primary surgical choice for gastroesophageal reflux disease, partial fundoplication may be useful in certain conditions because it has less postoperative adverse symptoms but similar efficacy to total fundoplication.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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