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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8-9
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pubmed:dateCreated |
1996-2-22
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pubmed:abstractText |
61 patients with aggressive gastro-esophageal reflux have been prospectively treated, 29 by open surgery and 32 by laparoscopy. There is no mortality and the morbidity is not significantly different (3 per cent vs 5 per cent). Hospital stay is strongly reduced in the laparoscopic group (5.4 days vs 8.9 days p = 0.02). Either the period of no professional activity (21.3 days vs 38.2 days p = 0.02). In both group, dysphagia is noted in 30% of the patients at 1 month and 3% at 4 months. All patients have had pre-operatively a mano-Ph-metry evaluation. At 4 months, the follow-up rate is 100% and all patient have been controlled with a 24 hours mano-Ph-metry. There is no difference between open and laparoscopic surgery. The mean SIO pressure had increased in both group from 3.6 mmHg to 18.1 mmHg (p = 0.001). There is only one failure in the beginning of the learning curve (4th patients in the "laparoscopy group" (3.1%). These study suggest that laparoscopic treatment could be proposed in the majority of failures of medical treatment in gastro-oesophageal reflux.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0021-7697
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
132
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
325-31
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8550713-Adult,
pubmed-meshheading:8550713-Aged,
pubmed-meshheading:8550713-Deglutition Disorders,
pubmed-meshheading:8550713-Endoscopy, Gastrointestinal,
pubmed-meshheading:8550713-Female,
pubmed-meshheading:8550713-Follow-Up Studies,
pubmed-meshheading:8550713-Gastroesophageal Reflux,
pubmed-meshheading:8550713-Humans,
pubmed-meshheading:8550713-Hydrogen-Ion Concentration,
pubmed-meshheading:8550713-Laparoscopy,
pubmed-meshheading:8550713-Male,
pubmed-meshheading:8550713-Manometry,
pubmed-meshheading:8550713-Middle Aged,
pubmed-meshheading:8550713-Postoperative Care,
pubmed-meshheading:8550713-Postoperative Complications,
pubmed-meshheading:8550713-Preoperative Care,
pubmed-meshheading:8550713-Prospective Studies
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pubmed:articleTitle |
[Gastroesophageal reflux. Conventional surgery versus laparoscopic treatment. Prospective study (61 cases). Mano-Ph-metric evaluation at 4 months].
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pubmed:affiliation |
Service de Chirurgie Générale et Digestive, Hôpital Jean Verdier, Université Paris XIII, Bondy, France.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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