Randomized trial of total fundoplication and fundal mobilization with or without division of short gastric vessels: a short-term clinical evaluation

Acta Cirurgica Brasileira

José Francisco De Mattos Farah²  José Carlos Del Grande¹  Alberto Goldenberg²  Júlio César Martinez¹  Renato Arione Lupinacci¹  Jacques Matone¹ 

[1] ,UNIFESP Department of Surgery

关键词: Fundoplication;    Gastroesophageal reflux;    Surgery;    Clinical trials;    Fundoplicatura;    Refluxo gastroesofágico;    Cirurgia;    Ensaios clínicos;   

DOI  :  10.1590/S0102-86502007000600002

来源: SciELO

【 摘 要 】

PURPOSE: Evaluate short results after fundoplication procedure, concerning the division of short gastric vessels. METHODS: A prospective randomization of 90 patients with indication for hiatoplasty and total fundoplication with fundus mobilization was performed. They were divided into two groups: no SGV division (group A, n= 46) and with SGV division (Group B, n=44), although in both groups the gastric fundus was mobilized to perform a floppy valve. Early outcome with clinical follow up (1 year) was observed. RESULTS: Both groups were similar regarding preoperative parameters and severity of gastroesophageal reflux disease (GERD). No difference in morbidity was observed during hospital stay. Nevertheless, the median operating time was 80,2 minutes in group A and 94,1 minutes (p=0,021) in Group B. Transitory dysphagia during the first year was significantly lower in group B (46,6% versus 23,2%, p=0,012). However, in 12 months clinical outcome was similar in both groups (clinical symptoms of GERD, persistent dysphagia and reoperations). CONCLUSION: There was no improvement in routine division of SGV in total fundoplication procedure when the gastric fundus was mobilized.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License