Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal

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 f...

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Autores principales: BRAGHETTO M,ITALO, KORN B,OWEN, VALLADARES H,HÉCTOR, SILVA C,JOHANNA, AZABACHE C,VERÓNICA
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2010
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500012
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spelling oai:scielo:S0034-988720100005000122010-07-12Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personalBRAGHETTO M,ITALOKORN B,OWENVALLADARES H,HÉCTORSILVA C,JOHANNAAZABACHE C,VERÓNICA Esophagitis Gastroesophageal reflux General Surgery 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% had a surgical indication.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.5 20102010-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500012es10.4067/S0034-98872010000500012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Esophagitis
Gastroesophageal reflux
General Surgery
spellingShingle Esophagitis
Gastroesophageal reflux
General Surgery
BRAGHETTO M,ITALO
KORN B,OWEN
VALLADARES H,HÉCTOR
SILVA C,JOHANNA
AZABACHE C,VERÓNICA
Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
description 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% had a surgical indication.
author BRAGHETTO M,ITALO
KORN B,OWEN
VALLADARES H,HÉCTOR
SILVA C,JOHANNA
AZABACHE C,VERÓNICA
author_facet BRAGHETTO M,ITALO
KORN B,OWEN
VALLADARES H,HÉCTOR
SILVA C,JOHANNA
AZABACHE C,VERÓNICA
author_sort BRAGHETTO M,ITALO
title Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
title_short Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
title_full Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
title_fullStr Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
title_full_unstemmed Indicaciones de cirugía antirreflujo: ¿Buenos y malos candidatos para la cirugía? Revisión bibliográfica y experiencia personal
title_sort indicaciones de cirugía antirreflujo: ¿buenos y malos candidatos para la cirugía? revisión bibliográfica y experiencia personal
publisher Sociedad Médica de Santiago
publishDate 2010
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500012
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