Quality of life in patients with gastroesophageal reflux disease following pharmacotherapeutic, endoscopic, and surgical treatment

Jurkowska, Grażyna; Świdnicka-Siergiejko, Agnieszka Katarzyna; Łagoda, Katarzyna; Sierżantowicz, Regina; Dâbrowski, A

doi:10.5114/ms.2016.64704

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…Considering the fact that the sliding hiatus hernia is not an "all or nothing" phenomenon [10], our method allows the determination of the degree of hiatal insufficiency and the inevitability of hernia development, which is an important piece of additional information for the surgeon when making a decision in favour of surgical treatment for GORD patients with incomplete symptom resolution on acid inhibition [19], as well as quality of life considerations, lifelong need for medication intake, expense of medications, etc. [20,21].…”

Section: Discussionmentioning

confidence: 99%

New method of preoperative selection of patients with gastro-oesophageal reflux disease

Panko¹,

Zhurbenka²,

Karpitski³

et al. 2019

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Introduction: The identification of sliding hiatal hernia (SHH) less than 3 cm in size using barium swallow fluoroscopy (BSF) and oesophagogastroduodenoscopy (OGD) was recently noted as a non-reliable method, allowing for approximately 2 cm of inherent error in its size estimate. Aim of the research: We aimed to develop a reliable method, which could be used for preoperative visualisation and accurate anatomic depiction of any hiatal hernia and anatomical abnormalities in patients with incomplete gastro-oesophageal reflux disease (GORD) symptom remission after appropriate medical therapy. Material and methods: Within the period 2015-2017, 29 GORD patients (15 women, mean age 51 years) with incomplete symptom resolution on acid inhibition and equivocal findings as for SHH after endoscopy and/or BSF, were evaluated before laparoscopic anti-reflux surgery (LARS) using a computed tomography scan with a Sengstaken-Blakemore tube (CTSBT) provocation probe to confirm hernia existence. We calculated the sensitivity of each of these diagnostic tests. Results: SHH was diagnosed in 21 patients by OGD and/or BSF, but during the surgery this diagnosis was confirmed in 18 patients. The sensitivity was found to be significantly higher in CTSBT modality, comparing with each of the other diagnostic tests and even higher than in OGD and BSF together. Conclusions: CTSBT has been verified as the most efficient method to confirm or rule out SHH diagnosis or other anatomical abnormalities, which could be used to provide a surgeon with detailed information while making a decision about the advisability of LARS. Streszczenie Wprowadzenie: Rozpoznawanie wślizgowej przepukliny rozworu przełykowego (SHH) o rozmiarze mniejszym niż 3 cm z zastosowaniem fluoroskopii z barytem (BSF) i ezofagoduodendoskopii (OGD) zostało ostatnio uznane za mało wiarygodną metodę, pozwalającą na ok. 2 cm błędu w oszacowaniu jej wielkości. Cel pracy: Opracowanie metody, która może być wykorzystana do przedoperacyjnej wizualizacji i dokładnego anatomicznego obrazowania SHH i innych nieprawidłowości anatomicznych u pacjentów z chorobą refluksową przełyku (GORD). Materiał i metody: W latach 2015-2017 u 29 pacjentów (15 kobiet, średni wiek: 51 lat) z niepełną remisją GORD po odpowiedniej terapii lekowej, u których wcześniej zdiagnozowano GORD i podejrzewano SHH na podstawie wyników endoskopii i/lub BSF, wykonano tomografię komputerową z zastosowaniem sondy Sengstaken-Blakemore (CTSBT) przed laparoskopową operacją antyrefluksową (LARS) w celu potwierdzenia obecności przepukliny. Różnicę czułości testów diagnostycznych obliczono za pomocą testu McNemar's Chi-square. Wyniki: Przepuklinę rozpoznano u 21 pacjentów za pomocą OGD i/lub BSF, chociaż w trakcie operacji rozpoznanie potwierdzono tylko u 18 pacjentów. Czułość diagnostyczna była znacznie wyższa w zakresie modalności CTSBT, gdy porównano ją z każdym z pozostałych testów diagnostycznych, a nawet wyższa niż w OGD i BSF razem. New method of preoperative selection of patients with gastro-oesophageal reflux disease Med...

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Section: Discussionmentioning

confidence: 99%

New method of preoperative selection of patients with gastro-oesophageal reflux disease

Panko¹,

Zhurbenka²,

Karpitski³

et al. 2019

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“…The significant worldwide incidence of gastroesophageal reflux disease (GERD) and its complications have significant health, economic and social consequences, including: increasing health care costs as wells as a negative impact a patient's productivity and quality of life [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic and therapeutic management in gastroesophageal reflux disease: consensus of the Polish Society of Gastroenterology

Świdnicka-Siergiejko¹,

Marek²,

Waśko−Czopnik³

et al. 2022

Polish Archives of Internal Medicine

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The following paper was developed by an expert group appointed by the Polish Society of Gastroenterology with the goal to update and systematize the knowledge about the diagnosis and treatment of gastroesophageal reflux disease (GERD). Based on the previously published guidelines of international societies, expert consensuses, and recently published good quality data, we formulated 74 statements regarding the definition, diagnosis and treatment of GERD and assessed the level of acceptance of these statements as well as the reliability of data. We discuss in detail about the possibilities and limitations of available diagnostic methods and therapies, with particular emphasis on the diversity of gastroesophageal reflux symptoms and complications including Barrett's esophagus. Practical principles regarding interpretation of the diagnostic tests are presented. In addition, we discuss the indications for surgical treatment as well as the situations in which surgical treatment is not indicated with emphasis on the importance of preoperative diagnostics. The role for add-on therapy and indications for maintenance treatment are defined.

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Quality of life in patients with gastroesophageal reflux disease following pharmacotherapeutic, endoscopic, and surgical treatment

Cited by 2 publications

References 43 publications

New method of preoperative selection of patients with gastro-oesophageal reflux disease

New method of preoperative selection of patients with gastro-oesophageal reflux disease

Diagnostic and therapeutic management in gastroesophageal reflux disease: consensus of the Polish Society of Gastroenterology

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