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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1997-3-6
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pubmed:abstractText |
Sixty-one patients with gastroesophageal reflux who did not respond to conventional medical treatment were treated in a prospective study, 29 by conventional surgery and 32 by laparoscopic methods. All underwent manometry and pH measurement preoperatively and at a follow-up of four months. There was no mortality, and the morbidity of the two groups was not significantly different at 3% and 5%. Hospital stay was significantly reduced (5.4 versus 8.9 days; p = 0.02) following laparoscopic treatment, and time off from work was 21.3 days versus 38.2 days (p = 0.02). The satisfaction index expressed by the patients was 65% at 1 month and 95% at 3 months. Dysphagia was observed in 30% of the patients at 1 month and in 3% at 4 months in both groups. The results of manometry and pH measurements at 4 months are comparable between open surgery and laparoscopy. There was one failure (3%) in the laparoscopic group caused by disruption of the valve. The mean pressure in the esophageal segment (expressed in mm Hg) changed in the two groups from 3.6 to 18.1 (p = 0.001). The results of this series show laparoscopic management of gastroesophageal reflux to be justified.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1051-7200
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
434-40
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8948034-Adult,
pubmed-meshheading:8948034-Aged,
pubmed-meshheading:8948034-Chi-Square Distribution,
pubmed-meshheading:8948034-Evaluation Studies as Topic,
pubmed-meshheading:8948034-Female,
pubmed-meshheading:8948034-Gastroesophageal Reflux,
pubmed-meshheading:8948034-Humans,
pubmed-meshheading:8948034-Hydrogen-Ion Concentration,
pubmed-meshheading:8948034-Laparoscopes,
pubmed-meshheading:8948034-Laparoscopy,
pubmed-meshheading:8948034-Male,
pubmed-meshheading:8948034-Manometry,
pubmed-meshheading:8948034-Middle Aged,
pubmed-meshheading:8948034-Postoperative Complications,
pubmed-meshheading:8948034-Prospective Studies,
pubmed-meshheading:8948034-Surgical Procedures, Operative,
pubmed-meshheading:8948034-Treatment Outcome
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pubmed:year |
1996
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pubmed:articleTitle |
Gastroesophageal reflux: conventional surgical treatment versus laparoscopy. A prospective study of 61 cases.
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pubmed:affiliation |
General and GI Surgery Unit, Hospital Jean Verdier, Bondy, France.
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pubmed:publicationType |
Journal Article,
Comparative Study
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