Laparoscopic antireflux surgery is the gold standard procedure for treatment of patients with reflux esophagitis. The purpose of this study is to report personal experience by a rare case from our practice with many concomitant diseases in laparoscopic antireflux surgery, analyzing the clinical and functional outcomes of this procedure and review of the literature. We report a woman with a long standing anamnesis for hiatal hernia, with impossibility for laparoscopic approach because of multi pleconcomitant diseases as Schoerman syndrome - deforming spondylarthrosis, progressing astenoadynamy, attaining to impossibility to move, chronic kidney insufficiency, heart insufficiency, chronic anemia. The laparoscopic approach was found as flexible and adaptive enough to the different anatomical variations. Smooth early and late postoperative period, under protection of substitutional therapy.
Scripta Scientifica Medica 2007; 39(2):165-168
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