Laparoscopic antireflux surgery: how I do it?

被引：0

作者：

Schlottmann, Francisco ^{[1
,2
]}

Herbella, Fernando A. M. ^{[3
]}

Patti, Marco G. ^{[1
,4
]}

机构：

[1] Univ N Carolina, Dept Surg, 4030 Burnett Womack Bldg,101 Manning Dr,CB 7081, Chapel Hill, NC 27599 USA

[2] Univ Buenos Aires, Hosp Aleman Buenos Aires, Dept Surg, Buenos Aires, DF, Argentina

[3] Univ Fed Sao Paulo, Escola Paulista Med, Dept Surg, Sao Paulo, Brazil

[4] Univ N Carolina, Dept Med, Chapel Hill, NC 27515 USA

来源：

UPDATES IN SURGERY | 2018年 / 70卷 / 03期

关键词：

Gastroesophageal reflux disease; Antireflux surgery; Fundoplication; Laparoscopy; RANDOMIZED-CLINICAL-TRIAL; GASTROESOPHAGEAL-REFLUX DISEASE; NISSEN FUNDOPLICATION; DYSPHAGIA;

D O I：

10.1007/s13304-018-0566-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Gastroesophageal reflux disease (GERD) affects an estimated 20% of the population in the US, and its prevalence is increasing worldwide. Lifestyle modifications and proton pump inhibitors (PPI) are effective in the majority of patients. However, some patients will become candidates for surgical intervention, because they have partial control of symptoms, do not want to be on long-term medical treatment, or suffer complications related to PPI. In these patients, a properly executed laparoscopic antireflux surgery controls esophageal and extra-esophageal symptoms and avoids life-long medical therapy. Important technical elements should be taken into account during the operation to avoid troublesome side effects and obtain optimal postoperative outcomes.

引用

页码：349 / 354

页数：6

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