Gastroesophageal reflux disease surgery
|
Gastroesophageal reflux disease Microchapters |
|
Differentiating Gastroesophageal Reflux Disease from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Gastroesophageal reflux disease surgery On the Web |
|
American Roentgen Ray Society Images of Gastroesophageal reflux disease surgery |
|
Directions to Hospitals Treating Gastroesophageal reflux disease |
|
Risk calculators and risk factors for Gastroesophageal reflux disease surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
- Surgery is not the first line of treatment of GERD. However, it can be as effective as the medical treatment in some cases of GERD.
- Surgery is very effective in cases who present with typical symptoms of GERD which are heart burn and regurgitation and patients who have ambulatory pH studies with good symptom correlation.[1][2]
- Surgery is recommended for treatment of GERD in the following cases:
- Gastrointestinal indications:[3]
- Chronic GERD cases
- High volume of acid reflux
- Patients who do not desire to continue the medical therapy
- Non-compliant medical therapy
- Side effects associated with the medical treatment
- The presence of large hiatal hernia
- Complications associated with GERD like esophagitis and barrett's esophagus
- Non-gastrointestinal indications:[4]
- Upper respiratory manifestations as the following:
- Hoarsness of voice
- Laryngitis
- Cough and aspiration
- Upper respiratory manifestations as the following:
- Gastrointestinal indications:[3]
- Surgical options:
- Nissen fundoplication:
References
- ↑ Oelschlager BK, Quiroga E, Parra JD, Cahill M, Polissar N, Pellegrini CA (2008). "Long-term outcomes after laparoscopic antireflux surgery". Am J Gastroenterol. 103 (2): 280–7, quiz 288. doi:10.1111/j.1572-0241.2007.01606.x. PMID 17970835.
- ↑ del Genio G, Tolone S, del Genio F, Aggarwal R, d'Alessandro A, Allaria A; et al. (2008). "Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring". J Gastrointest Surg. 12 (9): 1491–6. doi:10.1007/s11605-008-0583-y. PMID 18612705.
- ↑ Zaninotto G, Attwood SE (2010). "Surgical management of refractory gastro-oesophageal reflux". Br J Surg. 97 (2): 139–40. doi:10.1002/bjs.6863. PMID 20069606.
- ↑ Downing TE, Sporn TA, Bollinger RR, Davis RD, Parker W, Lin SS (2008). "Pulmonary histopathology in an experimental model of chronic aspiration is independent of acidity". Exp Biol Med (Maywood). 233 (10): 1202–12. doi:10.3181/0801-RM-17. PMID 18641054.