| Theme |
Surgical Indication for Gastrointestinal Diseases in the Era of Endoscopic Surgery |
| Title |
GERD Treatment Using Laparoscopic Antireflux Surgery |
| Author |
Hideyuki Kashiwagi |
Department of Surgery, Jikei Unirersity School of Medicine |
| Author |
Nobuo Omura |
Department of Surgery, Jikei Unirersity School of Medicine |
| Author |
Yoshito Tsuboi |
Department of Surgery, Jikei Unirersity School of Medicine |
| Author |
Akira Matsumoto |
Department of Surgery, Jikei Unirersity School of Medicine |
| Author |
Yoshio Ishibashi |
Department of Surgery, Jikei Unirersity School of Medicine |
| Author |
Katsuhiko Yanaga |
Department of Surgery, Jikei Unirersity School of Medicine |
| [ Summary ] |
Laparoscopic antireflux surgery (LARS) has gained wide acceptance among surgeons as a treatment for gastroesophageal reflux disease (GERD). LARS is a minimally invasive surgery and produces a 90 % suppression of reflux. Its indications are (1) poor PPI responders, (2) severe esophagitis, (3) severe reflux symptoms, (4) respiratory symptoms related to GERD, (5) large hiatal hernias, (6) young patients receiving maintenance treatment, and (7) Barrett's esophagus. LARS is also effective and produces satisfactory results for patients with nonerosive GERD, who are properly selected. |