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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Sociedad Médica de Santiago
2010
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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 |
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Scielo Chile |
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Scielo Chile |
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Spanish / Castilian |
topic |
Esophagitis Gastroesophageal reflux General Surgery |
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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 |
work_keys_str_mv |
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