Surgical Management Of Gastro Esophageal Reflux Disease (GERD): Comparing Laparoscopic Techniques"

Abstract

Background :Gastro esophageal reflux disease, commonly known as GERD, suffers  many Patients  through the retrograde movement of gastric contents into the esophagus, causing manifestations and if possible complications left untreated. While lifestyle modifications and anti refluxmedications are generally employed for symptom alleviation, surgical procedures, notably minimally invasive methods, have emerged as a highly effective option for patients refractory to other interventions. Understanding postoperative outcomes and indicators of recovery is paramount for optimizing GERD management approaches.

Objectives:

to assess remedial consequences and pinpoint determinants predictive of postoperative convalescence in patients undergoing laparoscopic surgery for gastro esophageal reflux diseases. By analyzing demographic particulars and operative interventions, we seek to guide evidence-based management in GERD.

Study design: A Retrospective Study.

Place and duration of study. Department of general surgery LRH Peshawar from 1^stJan 2018 to 1^stJuly 2018 Peshawar Pakistan.

Methods:

This retrospective analysis interpreted information from two hundred and fifty patients who underwent laparoscopic surgery for gastro esophageal reflux disease. Electronic health records from a designated period were reviewed to accumulate demographic specifics, surgical minutiae, and subsequent results. Statistical analysis, like calculating typical age, standard deviation, and p-values, were performed to compare age distribution between patients who recovered and those who did not. Ethical endorsement was obtained prior to initiating the study. This methodology permitted appraisal of demographic attributes and remedial outcomes in a cohort of patients undergoing laparoscopic GERD surgery.

Results:

There was variation in the age distribution among the 250 patients included in the study, with a median age of 49.8 years and a standard deviation of 11.5 years. A statistical study showed that there was a significant difference (p < 0.05) in the age distribution of patients who recovered following GERD surgery compared to those who did not. Those who recovered had an average age of 47.3 years, whereas those who did not recover had an average age of 56.2 years. After GERD surgery, seventy-five percent of the patients recovered well, but 25 percent of the patients did not recover throughout the follow-up period. While stressing the need for more study to determine factors impacting postoperative results in GERD therapy and predictors of surgical success, these data show the usefulness of laparoscopic procedures in attaining favorable outcomes in the majority of patients.

Conclusion

This study shows that laparoscopic surgery can be successful for the majority of GERD patients. More study is required to identify the variables influencing postoperative recovery and to enhance treatment strategies for Patients  who do not heal.