Introduction. Gastroesophageal reflux disease (GERD) is common pathology with typical and atypical clinical presentation. Currently, the efficiency of laparoscopic antireflux surgery (LARS) for the treatment of extraesophageal GERD symptoms have not been completely studied. The aim was to study the efficiency of LARS for the treatment of extraesophageal GERD symptoms.
Methods and procedures. From 1994 till 2004, 423 patients, including 89 patients with extraesophageal symptoms, underwent laparoscopic Nissen fundoplication. 200 patients underwent cruroraphy. 223 patients with II-III degree sliding hiatal hernia and paraesophageal hernia underwent alloplasty by composite mesh, including 151 patients with original mesh alloplasty method. The X- ray examination, endoscopy, esophageal manometry and 24h pH-study with symptom index calculation were used for preoperative and postoperative evaluation.
Results. The long-term results were studied in 365 patients (86,2 %), including 90 patients with extraesophageal symptoms, within mean follow-up period of 5 years (range, 3 -11). Postoperatively, the majority of patients were free of symptoms, both esophageal and extraesophageal. The complete reduction of respiratory syndrome were obtained in 74,6 % of patients, cardial syndrome – in 71,4 % of patients, rhinolaryngopharengial syndrome – in 76,5 % of patients. There were only 22 patients presenting extraesophageal symptoms postoperatively.
Conclusion: LARS is highly effective in the treatment of extraesophageal GERD symptoms.
Program Number: P273