A Case of Laparoscopic Surgery in a Young Man with Severe Reflux Esophagitis

Abstract

We report a case of laparoscopic surgery in a young man with severe reflux esophagitis. A 27-year-old man with a 10-year history of an eating disorder was admitted with vomiting and weight loss. He was previously treated for symptoms of stress associated with his home environment at the Department of Psychosomatic Medicine. Several years later, upper gastrointestinal endoscopy revealed reflux esophagitis, and medical treatment using a proton pump inhibitor was started ; however, the symptoms did not improve, and clinical examination revealed a high degree of backflow from the stomach into the esophagus. pH monitoring for 24 h showed a fraction time of 14.3% with a pH <4, and manometry showed a loss of esophageal motility. We therefore conducted laparoscopic Nissen fundoplication, and the patient is in good condition with excellent passage and no regurgitation.