| 복강경 위저추벽성형술로 치유한 위식도 역류질환 3예 |
| 송대훈·박효진·박진아·지상원·윤동섭*·이상인 |
| 연세대학교 의과대학 내과학교실, *외과학교실 |
| Three Cases of Gastroesophageal Reflux Disease Treated by Laparoscopic Fundoplication |
| Dae Hoon Song, M.D., Hyojin Park, M.D., Jina Park, M.D., Sang Won Ji, M.D., Dong Sup Yoon, M.D.* and Sang In Lee, M.D. |
| Departments of Internal Medicine and *Surgery, Yonsei University College of Medicine, Seoul, Korea |
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| Abstract |
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Medical treatment so far takes the major portion in the treatment of gastroesophageal reflux disease (GERD). Histamine-2 receptor antagonists, proton pump inhibitors and antacids, which are used in the medical treatment of GERD, decreases intragastric acidity, and therefore decreases acid reflux. However, recurrences are frequently observed after the cessation of medication. On the other hand, fundoplication, the surgical management of GERD, aims for physiologic reconstruction of esophagogastric junction, and for correcting the pathogenetic cause of GERD. But fundoplication is linked to risks related to surgery and general anesthesia. Laparoscopic funcoplication minimizes these risks. We recently experienced three cases of GERD improved by laparoscopic 270o fundoplication. One patient was intolerant of long-term proton pump inhibitor treatment, and two patients had hiatal hernia, and one of them showed failure to medical treatment. This report describes these three cases with a brief review of literatures survey. (Korean J Gastrointest Endosc 2005;30:2834) |
| Key Words:
Gastroesophageal reflux disease (GERD), Laparoscopic fundoplication |
| 주요어:
위식도역류질환, 복강경 위저추벽성형술 |
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