الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
The study involves prospective and retrospective GERD of 40 patients with symptomatic GERD grades (II, III , IV) who will be allocated to one of two groups:
Group A: 20 patients undergoing medical treatment
Group B: 20 patients undergoing laparoscopic treatment of their acid reflux
Pre-study will be compared with post-study with a 9
Month follow up, depending on:
• Symptomatic relief
• Healing of oesophagitis
• Recurrence (judged by endoscopy)
• Occurrence of complications
• Tolerance to medical treatment
Comparison between groups would be carried using chi-squared analysis for non numerical data.
In this study, there’s obvious significant improvement in the lower esophageal sphincter (LES) length and LES pressure in the surgical group, with a concomitant improvement in healing of esophagitis and symptomatic relief.
Concerning the LES length and LES pressure a significant increase in both length and pressure where noted in the post surgical group.
Concerning the healing of esophagitis, surgery proved to be superior to medical treatment in healing of esophagitis, while surgery succeeded in stepping down the stage of esphagitis to 80% having no
esophagitis at all & 10% in stage I & another 10% in stage II, medication left 70% in stage II & 20% is stage III.
Concerning symptomatic relief, surgery also proved to be superior to medical therapy in relieving symptoms of GERD, especially regurgitation, with a success of 100% in the surgery group, while medication failed to relief regurgitation in any patient who suffered this symptom. i.e.(0% success).
Surgery was found to be slightly superior to medication in relieving heart burn with a success percentage of 80% compared to 60% in the medical group, and a lesser significance in reliving dysphagia in which success percentage was 80% in the surgical group compared to 66.6% in the medical group.