Long-term Follow-up for Treatment of Complicated Chronic Reflux Esophagitis

Shirazi, Siroos S.

doi:10.1001/archsurg.1987.01400170054008

Cited by 71 publications

(21 citation statements)

References 18 publications

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“…In summary, surgery has been conclusively demonstrated to be significantly more effective than medical management of complicated gastroesophageal reflux disease as far as symptom improvement and objective signs of esophagitis are concerned, with excellent long-term results [14,15]. It is also the only method of reestablishing the normal reflux barrier of the lower esophageal sphincter mechanism, allowing the return of normal esophageal and gastric physiology.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic partial fundoplication vs laparoscopic Nissen-Rosetti fundoplication

et al. 1997

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Section: Discussionmentioning

confidence: 99%

Laparoscopic partial fundoplication vs laparoscopic Nissen-Rosetti fundoplication

et al. 1997

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“…The decreased postoperative morbidity involved in this approach should not change the indications or evaluations for surgery, but does make this option more attractive for some patients whose alternative would be long-term medical therapy (106). The long-term durability of laparoscopic antireflux surgery remains incompletely defined, but several studies of the open technique have reported adequate control of disease for as long as 20 yr (107,108). Another study suggested a deterioration in both LES pressure and endoscopic histology back toward the presurgical level 5-6 yr postoperatively (109).…”

Section: Antireflux Surgery Performed By An Experienced Surgeon Is mentioning

confidence: 99%

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

DeVault¹

1999

The American Journal of Gastroenterology

143

178

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PREAMBLEGuidelines for the diagnosis and treatment of gastroesophageal reflux disease (GERD) were published by the American College of Gastroenterology in 1995 (1). These and other guidelines undergo periodic review. Significant advances have been made in the area of GERD over the past several years, leading us to review and revise our previous guidelines statements. These advances have included an increase in our comfort with the chronic use of proton pump inhibitors and an increased acceptance of laparoscopic antireflux surgery, among other factors. These and the original guidelines are intended to apply to all physicians who address GERD and are intended to indicate the preferable, but not only acceptable, approach. Physicians must always choose the course best suited to the individual patient and the variables that exist at the moment of the decision. These guidelines are intended to apply to adult patients with the symptoms, tissue damage, or both that result from the reflux of gastric contents into the esophagus. For the purpose of these guidelines GERD is defined as chronic symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.Both these and the original guidelines were developed under the auspices of the American College of Gastroenterology and its Practice Parameters Committee, and approved by the Board of Trustees. The world literature was reviewed extensively for the original guidelines and was once again reviewed using the National Library of Medicine database. All appropriate studies were reviewed and any additional studies found in the reference list of these papers were obtained and reviewed. Evidence was evaluated along a hierarchy, with randomized controlled trials given the greatest weight. Abstracts presented at national and international meetings were only used when unique data from ongoing trials were presented. When scientific data were lacking, recommendations were based on expert consensus. During preparation, the guidelines were reviewed

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“…80]. The most com monly used procedure is the Nissen fundopli cation but post-operative problems include dysphagia and inability to vomit [13,82,84], The incidence of these problems is low (1-8%) in experienced centres [84], and has been improved further by the introduction of a Floppy Nissen fundoplication [13,59,70], Excellent results have been reported using this technique (0.8% mortality) [85], but this pro cedure fails to control symptoms in 4-9% of patients, with a further 10% suffering relapse of symptoms in 10 years [65,82,86], The results of surgery for reflux induced strictures have not been as good as for uncomplicated gastro-oesophageal reflux disease (75 vs. 90. respectively) [7. 17], possibly due to extensive peri-oesophageal and fibrosis extending through the oesophageal wall resulting in oe sophageal tension and abnormal oesophageal mortility.…”

Section: Antireflivc Surgerymentioning

confidence: 99%

Management of Peptic Oesophageal Stricture

Carr

Wicks

1993

Dig Dis

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Peptic oesophageal stricture develops in approximately 10-15% of patients with inadequately treated reflux oesophagitis and poses a difficult clinical problem. The management of reflux oesophagitis has been revolutionised by improvements in medical management, endoscopic and balloon techniques of oesophageal dilatation. The major advance has been the development of inhibitors of gastric acid secretion: histamine receptor antagonists and H⁺ + K⁺ + ATPase inhibitors. Studies have recently shown that the H⁺ + K⁺ + ATPase inhibitor omeprazole is effective in the management of severe resistant reflux disease with peptic stricture formation, leading to a reduction in the number of oesophageal dilatations required by up to 60% of patients. The aim of this article is to review the current medical, endoscopic and surgical management of severe peptic oesophagitis with stricture formation.

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Long-term Follow-up for Treatment of Complicated Chronic Reflux Esophagitis

Cited by 71 publications

References 18 publications

Laparoscopic partial fundoplication vs laparoscopic Nissen-Rosetti fundoplication

Laparoscopic partial fundoplication vs laparoscopic Nissen-Rosetti fundoplication

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

Management of Peptic Oesophageal Stricture

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