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جراحة الكبد - the German Medical Journal

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Reflux Disease<br />

F E A T U R I N G T H E B E S T O F G E R M A N M E D I C I N E<br />

املرض القلسي<br />

fundoplications carried out<br />

personally 80-90 percent of <strong>the</strong><br />

treated patients report a significcant<br />

improvement of <strong>the</strong> qualiity<br />

of life. Own studies examiniing<br />

<strong>the</strong>se patients could show<br />

that even many years after <strong>the</strong><br />

laparoscopy <strong>the</strong>ir quality of life<br />

is still significantly higher than<br />

before <strong>the</strong> surgery. Post-opeeratively<br />

most patients experieence<br />

a clear streng<strong>the</strong>ning of<br />

<strong>the</strong> constrictor function of <strong>the</strong><br />

lower oesophageal constricttor,<br />

as well as a significantly<br />

lower strain on <strong>the</strong> oesophagus<br />

from gastric acid. The leading<br />

pre-operative symptoms such<br />

as heartburn, regurgitation and<br />

epigastric feelings of pressure<br />

could be eliminated for a majoriity<br />

of <strong>the</strong> patients on a longterm<br />

basis.<br />

at a special medical centre and<br />

by experienced surgeons with<br />

high professional expertise.<br />

In summary, we can say that<br />

<strong>the</strong> minimally invasive <strong>the</strong>rapy<br />

of <strong>the</strong> gastro-oesophageal<br />

reflux disease is a useful<br />

alternative to life-long medicattion.<br />

Especially <strong>the</strong> anatomical<br />

morphological function of <strong>the</strong><br />

lower part of <strong>the</strong> oesophagus<br />

is restored in this operation.<br />

The long-term results achieved<br />

so far show that <strong>the</strong> surgical<br />

<strong>the</strong>rapy leads to a significant<br />

improvement of <strong>the</strong> quality<br />

of life, long-term success and<br />

low complication rates. An<br />

important factor for a successfful<br />

operation is <strong>the</strong> treatment<br />

Ass.Prof. Dr. Frank Granderath (MD)<br />

Department of General<br />

and Visceral Surgery<br />

Minimally Invasive Surgery Centre<br />

Hospital Neuwerk<br />

Moenchengladbach<br />

Frank.Granderath@kh-neuwerk.de<br />

Prof. Dr. Alfred Koenigsrainer (MD)<br />

Department of General, Visceral<br />

and Transplant Surgery<br />

University Hospital Tuebingen<br />

47 47

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