Kyung Won Seo, PhD. Kosin University College of Medicine
Purpose: Laparoscopic antireflux surgery (ARS) is an alternative treatment option for gastroesophageal reflux disease (GERD) in the world. However, the effectiveness and economic feasibility of ARS versus medical treatment is unknown. This study was performed to evaluate the effectiveness and economic benefits of ARS.
Methods: Nine patients with GERD were treated using laparoscopic ARS between 2012 and 2016. Surgical results and total cost for surgery were reviewed.
Results: Seven men and 2 women were enrolled. Preoperatively, typical symptoms were present in 9 patients, while atypical symptoms were present in 5 patients. One patient underwent partial fundoplication due to absent peristalsis and the other underwent Nissen fundoplication. Postoperatively, typical symptoms were controlled in 9 of 9 patients, while atypical symptoms were controlled in 4 of 5 patients. Overall, at 6 months after surgery, 3 reported partial resolution of GERD symptoms, with 6 achieving complete control. The average cost of ARS for nine patients was 5840 USD.
Conclusion: Laparoscopic ARS is effective for controlling typical and atypical GERD symptoms. The cost of ARS may be more economical over the long term compared to medical treatment.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86550
Program Number: P757
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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