Indirect Antireflux Procedures in Gastroesophageal Reflux Disorders
Authors:
R. Vrba; Č. Neoral; R. Aujeský; M. Loveček
Authors place of work:
I. chirurgická klinika FN Olomouc, přednosta: doc. MUDr. Č. Neoral, CSc.
Published in the journal:
Rozhl. Chir., 2007, roč. 86, č. 9, s. 490-492.
Category:
Monothematic special - Original
Summary
The authors present surgical management in patients with duodenogastroesophageal reflux in gastroesophageal reflux disorders. Currently, negative effects of alcalic biliary reflux on the esophageal mucosa have been demonstrated. It may result in serious complications of the disorder, including esophageal strictures, ulcerations, bleeding and, in particular, development of a Barrett’s esophagus premalignancy which may, potentialy, result in adenocarcinoma. During 2004–2005, a total of 148 subjects were operated in the Ist Surgical Clinic for gastroesophageal reflux disorders. Most of the subjects underwent antireflux procedures, laparoscopic Rossetti modifications of fundoplication. The group of patients suffering from symptomatic biliary refluxes, confirmed on endoscopy, included 14 subjects. The patients were indicated for indirect antireflux procedures, gastric resections with gastrojejunoanastomosis using a Roux loop.
After the procedure, all patients recovered from the symptoms of the disorder, which corresponded with favourable control findings on endoscopy. In patients with symptomatic biliary reflux, indirect antireflux procedrues are prefered, to prevent development of eso- phageal reflux disorder complications.
Key words:
biliary reflux – surgical therapy – indirect antireflux procedure
Zdroje
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Štítky
Anaesthesiology, Resuscitation and Inten Paediatric surgery Paediatric urologist Vascular surgery Chest surgery Maxillofacial surgery Plastic surgery Surgery Intensive Care Medicine Cardiac surgery Cardiology Neurosurgery Clinical oncology Orthopaedics Burns medicine Orthopaedic prosthetics Rehabilitation Nurse Traumatology Trauma surgery Urology Medical studentČlánok vyšiel v časopise
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