ANTIREFLUX SURGERY: Indications, Preoperative Evaluation, and Outcome

摘要: Gastroesophageal reflux disease (GERD) is the most common disorder of esophagus and one frequent complaints patients in office setting. It estimated that approximately 40% Americans suffer from heartburn at least once a month, 14% weekly, 7% daily. 30,61 Heartburn often misperceived as trivial complaint, which can be easily controlled with over-the-counter medications. has been shown, however, quality life GERD worse than angina pectoris or congestive heart failure. 25 treated either medically surgically. Medical therapy directed neutralizing acid antacids by blocking secretion H 2 blockers proton-pump inhibitors. Promotility agents used conjunction these to help clear stomach. Surgery aimed creating barrier gastric contents lower esophageal sphincter (LES). Laparoscopic surgery offers possibility performing procedures less morbidity mortality open procedure high patient acceptance.