Surgical Treatment of Gastroesophageal Reflux Disease

被引：25
|
作者：
Yates, Robert B. [1 ]
Oelschlager, Brant K. [2 ]
机构：
[1] Univ Washington, Ctr Videoendoscop Surg, Dept Gen Surg, Seattle, WA 98195 USA
[2] Univ Washington, Ctr Videoendoscop Surg, Dept Surg, Div Gen Surg, Seattle, WA 98195 USA
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2015年 / 95卷 / 03期
关键词：
Gastroesophageal reflux disease; Laparoscopic antireflux surgery; Hiatal hernia; Fundoplication; IDIOPATHIC PULMONARY-FIBROSIS; LAPAROSCOPIC NISSEN FUNDOPLICATION; RANDOMIZED CLINICAL-TRIAL; LUNG-TRANSPLANT RECIPIENTS; ANTIREFLUX SURGERY; CHRONIC COUGH; EXTRAESOPHAGEAL REFLUX; HIATAL-HERNIA; FOLLOW-UP; THERAPY;
D O I：
10.1016/j.suc.2015.02.007
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Gastroesophageal reflux disease (GERD) is the most common benign medical condition of the stomach and esophagus. For patients that experience life-limiting symptoms of GERD despite medical therapy, antireflux surgery should be considered. The application of laparoscopy to antireflux surgery has decreased perioperative morbidity, hospital length of stay, and cost compared with open operations. Laparoscopic antireflux surgery (LARS) is a safe operation that provides durable improvement in typical symptoms of GERD. Careful patient selection based on symptoms, response to medical therapy, and preoperative testing will optimize chances for effective and durable postoperative control of symptoms. Complications of LARS are rare. © 2015 Elsevier Inc.
引用
收藏
页码：527 / 553
页数：27
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