Indicaciones de cirugía antirreflujo: ¿buenos y malos candidatos para la cirugía? revisión bibliográfica y experiencia personal / Indications for antireflux surgery: a clinical experience and review of the literature
Rev. méd. Chile
; 138(5): 605-611, mayo 2010. tab, ilus
Article
in Spanish
| LILACS
| ID: lil-553261
Responsible library:
BR1.1
ABSTRACT
Antireflux laparoscopic surgery has excellent results in terms of improvement of symptoms, esophagitis, gastroesophageal sphincter competence and abnormal acid reflux. Indications for surgery are well established, however some of these are controversial. This is a review of the present indications for surgery in gastroesophageal reflux. The surgical indication should be the result of a complex clinical and laboratory work up. Patients with a clear cut surgical indication should be differentiated from those with doubtful indications, that require further analysis and those that are bad candidates for surgery. Young patients with macroscopic esophagitis, an incompetent sphincter, abnormal acid reflux test, that have a partial or negative response to treatment with proton pump inhibitors are those with the best surgical results. Bad candidates are patients with a psychiatric background, with atypical symptoms and those with a normal acid reflux test. In our experience with 935 patients, only 23 percent had a surgical indication.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Gastroesophageal Reflux
/
Patient Selection
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2010
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico de la Universidad de Chile/CL