جراحة الكبد - the German Medical Journal
جراحة الكبد - the German Medical Journal
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