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Gut Liver. 2016 Sep 15;10(5):726-30. doi: 10.5009/gnl15406.

Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014.

Author information

1
Department of Surgery, The Catholic University of Korea College of Medicine, Korea.
2
Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
3
Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
4
Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
5
Department of Surgery, Kosin University College of Medicine, Busan, Korea.
6
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND/AIMS:

Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea.

METHODS:

Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed.

RESULTS:

A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%.

CONCLUSIONS:

This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms.

KEYWORDS:

Gastroesophageal reflux disease; Laparoscopic fundoplication; Nationwide Korean data; Proton pump inhibitors

PMID:
27114420
PMCID:
PMC5003195
DOI:
10.5009/gnl15406
[Indexed for MEDLINE]
Free PMC Article

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