BACKGROUND: @entity354 is highly common worldwide and surgical treatment is being indicated more frequently. Currently, laparoscopic is the access of choice and several antireflux techniques may be used. We prefer a modified Nissen technique. PURPOSE: To analyze preoperative clinical and functional parameters and compare with postoperative outcome of a modified valve technique performed by laparoscopy. METHODS: A group of 59 @entity1 underwent laparoscopic modified Nissen valve. Preoperative diagnosis was made by radiological contrast exams and endoscopy in all @entity1 . Esophagus manometry was performed in 35 @entity1 and scintigraphy scan in 15 @entity1 . Complicated @entity2910 occurred in 54.2%, with 21 (35.6%) @entity1 presenting a Barrett's epithelium. Laparoscopic surgery was performed in all @entity1 with no conversion to open surgery, with an average time of 123.9 minutes. RESULTS: There were no intraoperative complications. Hospital discharge occurred in an average of 47.6 hours. Symptoms as @entity1282 , @entity158 , @entity338 and flatus occurred in 48.1% of the @entity1 in the first thirty days. Average follow-up was 20.8 months. Postoperative radiological, endoscopic, manometric and scintigrafic scan exams showed a significant improvement, as well as clinical assessment using Visick's classification, which showed excellent and good results in 93.1% of the @entity1 . CONCLUSION: Comparative analysis of clinical assessment and exam results lad us to conclude that modified Nissen surgery by laparoscopic access corrects @entity354 in most @entity1 followed-up.

[Videolaparoscopic surgical treatment of XXXX : modified Nissen technique - clinical and functional results].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2910 :: ('MESH:D004941', 'Disease') :: ['esophagitis'] @entity338 :: ('MESH:D011665', 'Disease') :: ['regurgitation'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux', 'Gastroesophageal reflux disease']
@entity354 :: (MESH:D005764,Disease) :: ['gastroesophageal reflux disease']
