422. laparoscopic toupet fundoplication evaluation for gastroesophageal reflux disease short and long-therm follow-UP: a cohort study
Abstract
Gastroesophageal Reflux Disease (GERD) is one of the most important disorders of the gastrointestinal system, affecting 20% to 40% of the population of the United States of America. There are several surgical techniques for treating this disease, including the Toupet Fundoplication technique, which reduce the postoperative complications, like dysphagia, Gas Bloating Syndrome and incapacity to belch.
Prospective cohort study with 138 patients in two hospitals, one public and the other private, in the city of Natal, Brazil. All patients were evaluated postoperative as the following: 1) first week after the surgery were interviewed by the master surgeon; 2) fifty days after surgery were submitted to a Barium Swallow; 3) three months after the surgery the endoscopy was performed. The follow-up was carried out in relation to the symptom of postoperative dysphagia, ability to belch, feeling of fullness and gastroesophageal reflux.
A total of 140 patients were observed, who were admitted for the Toupet Fundoplication procedure. Of this total, 74 patients were followed-up. 68 patients had improvement of symptoms related to esophageal disease and are clinically satisfied. 6 patients had recurrence of reflux symptoms. One patient still doesn’t belch. One patient had Gas Bloating Syndrome.
Toupet Fundoplication was a standard procedure in the study and achieved good results in 91,89% of the cases followed during follow-up of GERD control and relief symptoms with a minimal rate of…
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 140 participants or records.
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