@entity354 is a common condition. Most @entity1 can be managed with medications, but @entity1 with @entity66 , particularly those with an incompetent lower esophageal sphincter, should be referred for surgery. The open Nissen fundoplication cures >90% of @entity1 of their symptoms. The laparoscopic approach was first applied for @entity1 with @entity354 in 1991, and since then numerous reports evaluating the early experience with this technique have been published with results similar to the open procedure. Over the last 5 years, 595 laparoscopic antireflux procedures have been performed by us. There was 1 mortality due to an unrecognized duodenal perforation. @entity130 did not occur compared to an incidence of up to 8.5% for the open procedure. A total of 9 @entity1 required conversion to the open procedure for perforation, @entity548 , or dissection difficulties. However, in the last 350 cases no conversions have been necessary. Most @entity1 are now being discharged from hospital on the day after surgery with some @entity1 being discharged on the same day as surgery. The overall reoperation rate, both for early postoperative morbidity and for late poor outcome, was 3.9% with follow-up ranging from 2 months to 5 years. The laparoscopic Nissen fundoplication achieves the same short-term outcome as the open procedure with significantly less postoperative morbidity and a shorter hospital stay.

The surgical option for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity66 :: ('MESH:D004194', 'Disease') :: ['refractory disease'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease', 'Gastroesophageal reflux disease'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Splenic injury']
@entity354 :: (MESH:D005764,Disease) :: ['gastroesophageal reflux disease']
