Minimally invasive surgery for XXXX .

@entity1 @entity356 @entity1282 @entity354
BACKGROUND: The goal of this study was to determine if the outcome of antireflux surgery can be improved by: (1) conducting a careful preoperative workup to characterize @entity354 ( @entity354 ) in the individual @entity1 ; and (2) tailoring the operation to the results of the preoperative function tests. @entity1 AND METHODS: Sixty-eight @entity1 had operations for @entity354 by minimally invasive techniques. RESULTS: A Rossetti fundoplication was performed in 22 @entity1 . Sixty-eight percent became asymptomatic. Twenty-seven percent developed @entity1282 or gas bloat. Thirty-five @entity1 had a Nissen fundoplication. Ninety-one percent are asymptomatic. Eleven @entity1 with severe abnormalities of esophageal peristalsis underwent a Guarner fundoplication with relief of symptoms in 82% of @entity1 . No @entity1 in the Nissen or Guarner group developed postoperative persistent @entity1282 or gas bloat. A pyloromyotomy was performed in 3 @entity1 because of severe delayed @entity356 . CONCLUSIONS: Minimally invasive surgery for @entity354 gives good-to-excellent results even in @entity1 with abnormal esophageal body function, provided that the operation is tailored to the individual @entity1 based on the results of the preoperative function tests.
