EFFICTIVENESS OF LAPAROSCOPIC FUNDOPLICATION IN RELEIVING THE SYPMTOMS OF GASTRO�OESOPHAGEAL REFLUX DISEASE IN PATIENTS OF SLIDING HIATUS HERNIA

Dr.Chetan N. Mhaske

Volume : VI, Issue : VIII, August - 2016

EFFICTIVENESS OF LAPAROSCOPIC FUNDOPLICATION IN RELEIVING THE SYPMTOMS OF GASTRO�OESOPHAGEAL REFLUX DISEASE IN PATIENTS OF SLIDING HIATUS HERNIA

Dr. Chetan N. Mhaske

Abstract :

Sliding hiatus hernia disrupts both the anatomy and physiology of normal anti–reflex mechanism. The presence of hiatus hernia is associated with symptoms of gastro–esophageal reflux, increased prevalence and severity of reflux esophagitis, Barrett’s esophagitis and malignancy. It was initially thought that a hiatus hernia has to be present for reflux esophagitis to occur. Subsequently hiatus hernia was considered an initial finding of consequences. In our institute over 1500 gastroscopies are done from May 2012 to June 2015 .Out of which those presenting with reflux esophagitis and other complications of hiatus hernia and GERD are taken for laparoscopic fundoplication surgery. We have observed that patient’s undergone surgeries are much better and their quality of life was much improved than those only on medication. Also our study showed that the need of chronic medical therapy has reduced in patient who undergone this surgery