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. 1999 Jul;94(7):1777-81.
doi: 10.1111/j.1572-0241.1999.01205.x.

The long term results of open antireflux surgery in a community-based health care center

T K Rantanen  1 , T V Halme, M E Luostarinen, L M Karhumäki, E O Könönen, J O Isolauri
Affiliations

The long term results of open antireflux surgery in a community-based health care center

T K Rantanen et al. Am J Gastroenterol. 1999 Jul.

Abstract

Objective: There is no previous study concerning long term results of open Nissen fundoplication performed by general surgeons in a nonspecialized unit.

Methods: Of 45 consecutive patients in a general provincial center, 39 were available for follow-up after a mean period of 78 months. All patients were interviewed using a standard questionnaire, and 35 of them consented to undergo endoscopy.

Results: Of the patients, 85% had no or only mild reflux symptoms. The figures for dysphagia, flatulence, and bloating were 31%, 67%, and 46%, respectively. Endoscopy showed defective fundic wrap in 37% of the patients and erosive esophagitis in 29%. Five patients (13%) with recurrent esophagitis were referred for H2-blocker or omeprazole medication, and five others (13%) were scheduled for repeat antireflux surgery.

Conclusions: The results were somewhat worse in regard to prevalence of defective fundic wrap and recurrent esophagitis than in other reports, which were from specialized units.

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