#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

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

1. Lundell, L., Abrahamsson, H., Ruth, M., Rydberg, L., Lonroth, Olbe, L. Long-term results of a prospective randomized comparison of total fundic wrap (Nissen-Rosseti) or semifundoplication (Toupet) for gastro-esofageal reflux. Br. J. Surg., 1996, 93, 830–835.

2. Neoral, Č., Aujeský, R., Král, V. Místo antirefluxního výkonu v terapii refluxní nemoci jícnu - diagnostický, terapeutický a indikační problém. Čes. a slov. Gastroenterol., 1997, 51, 207–209.

3. Neoral, Č., Král., V. Laparoskopická fundoplikace. Rozhl. Chir., 1996, 7, 345–348.

4. Rosseti, M, Hell, K. Fundoplication for the treatment of gastro-esofageal reflux in hiatal hernia. World J. Surg., 1977, 1, 439–444.

5. Lukáš, K., Bureš, J., Drahonovský, V., Hep, A., Jirásek, V., Mandys, V., Martínek, J., Richter, P., Strosová, A. Refluxní choroba jícnu. Standardy České gastroenterologické společnosti. Vnitřní lék., 2002, 7, 23–29.

6. Kala, Z., Svoboda, T. Vomela, J. Patofyziologie refluxní choroby jícnu. Refluxní choroba jícnu. Grada, 2003, 13–36.

7. Vaezi, M. F., Richter, J. E. Synergism of acid and duodenogastroesophageal reflux in complicated Barretts oesopfagus. Surgery, 1995, 117, 699–704.

8. Freedman, J., Naslund, E., Granstrom, L., Backman, L. Biliary reflux can be contributory cause of esophagitis. Lakartidningen, 1998, 95, 4086–4090.

9. Stein, H. J., Kauer, W. K., Feussner, H., Siewert, J. R. Bile reflux in benign and malignant Barretts esophagus effect of medical acid suppression and Nissen fundoplication. J. Gastrointest. Surg, 1998, 4, 331–341.

10. Herzog, D. Is alkaline gastroesofageal reflux an etiology for esophagitis? Z. Gastroenterol., 1997, 12, 1093–2000.

11. van den Boogert, J., van Hillegersberg, R., de Bruin, R. W. Barretts Oesophagus, Pathofysiology. Diagnosis and Management. Scand. J. Gastroenterology, 1998, 4, 258–261.

12. Berstein, I. T., Kruše, P., Anderson, I. B. Barretts Oesophagus. Dig. Dis.,1994, 12, 98–105.

13. Dolina, J., Hep, A., Dítě, P., Munzová, H., Kunovská, M., Husová, L. Barrettův jícen – současný stav problematiky. Čes. a slov. Gastroenterol., 2000, 3, 117–120.

14. Marshal, R. E., et al. Bile in the esophagus: Clinical revalence and ambulatorydetection. British Journal of Surgery, 1997, 1, 21–28.

15. Greagory, T., Champion, et al. Duodenogastroesophageal reflux: relationship to pH and importance in Barretts esophagus. Gastroenterology, 1994, 3, 36–39.

16. Aujeský, R., Neoral, Č., Král, V., Klein, J., Vrba, R., Bohanes, T. Reoperace po laparoskopické fundoplikaci. Rozhl. Chir., 2004, 10, 503–505.

17. Civello, I. M., Brisinda, G., Palermo, A., Agresti, M., Minelli, S., Sganga, G., Maria, G. Truncal vagotomy, antrectomy and Roux-en-Y gastrojejunostomy in the treatment of duodenogastric reflux disease. Digestiv surgery, 1998, 15, 30–34.

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 student

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 9

2007 Číslo 9
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#