腹腔镜SF胃底折叠术

42 yo male patient with a long history of substernal burning, controlling from time to time with ranitidine. For a several month period there is a pain at the epigastric region and upper GI endoscopy revealed a small hiatal hernia, erosive esophagitis and suspected short segment Barrett’s esophagus and HP +++ positive. After eradication abdominal contrast gastrography confirmed type II hiatal hernia with a reflux in the Trendelenburg position. He was treated with Omeprazole 20 mg orally twice daily and metoclopramide 15 mg 3 times per day for eight weeks but all the signs returned after discontinuing treatment. He returned for repeat EGD which disclosed incomplete healing of the esophagus and low-grade dysplasia founded on random biopsy. As a component of multidisciplinary approach patient scheduled to the antireflux surgery.

                               
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