Abstract: GERD is the most typical disease come across by the gastroenterologist with a 20% occurrence in the adult population. It has actually been categorized as the presence of reflux symptoms without erosions on endoscopic assessment, i.e., nonerosive reflux disease (NERD) or reflux signs with mucosal breaks at endoscopic assessment, i.e., erosive reflux disease (ERD).The aims of this study is evaluating the efficacy, safety and outcome of laparoscopic surgery for GERD in comparison with open surgery, and also determine the risk factors which influence the outcome to identify those patients that are not good candidates for laparoscopic approach. We systematically searched PubMed, Embase, and the Cochrane Library database for articles published up to year of 2016 which compared Laparoscopic Nissen with open surgical procedure for GERD. For the first search, text key words were “laparoscopy” or “laparoscopic Nissen” and “Open anti-reflux surgery” or “fundoplication.” The results of this search were combined with the results of a subsequent search using terms “gastroesophageal reflux” or “GERD.” The laparoscopic Nissen fundoplication is the basic operation for the surgical treatment of GERD. Partial fundoplications can likewise be performed, especially in cases of underlying esophageal motility conditions, however it has actually been displayed in some research studies to have a greater recurrence rate than the Nissen fundoplication. Other strategies consist of gastrojejunal feeding, gastrostomy, and overall esophagogastric dissociation and have appealing early results in kids. Straightforward postoperative look after fundoplications include early development of diet plan to liquids then pureed and outpatient documents of resolution of signs.
Keywords: Laparoscopic Nissen, gastroesophageal.
Title: Laparoscopic Nissen or open technique in gastroesophageal reflux disease management; Systematic Review
Author: Salem Hisham S , Jobah, Ahmad Mohammad alghamd, Asa abdullah saleh alghamdi, Mohammad omar alammari, Anas Ahmed Sulieman Ali, Dana Abdulrahman Nadif, Wafaa abdalkareem metwly abdalghafar, Wejdan Abdullah AlGarni
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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