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[Surgical treatment for reflux esophagitis]
Hiroyasu Makuuchi1, Hideo Shimada, Osamu Chino
1Department of Surgery, Tokai University School of Medicine, Isehara, Japan.
Nihon Geka Gakkai Zasshi
|October 25, 2003
Summary
Medical therapy remains the primary treatment for reflux esophagitis, but surgery is indicated for specific cases like therapy resistance or complications. Surgical method selection depends on patient factors and esophageal condition.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Context:
- Proton pump inhibitors and laparoscopic Nissen operation are recent advancements for reflux esophagitis.
- Medical therapy is currently the preferred treatment for reflux esophagitis.
Purpose:
- To outline indications for surgical intervention in reflux esophagitis.
- To detail the selection criteria for various surgical methods based on patient characteristics and esophageal conditions.
Summary:
- Medical therapy is the first-line treatment for reflux esophagitis.
- Surgical intervention is reserved for patients resistant to medical therapy, those with free reflux, esophageal shortening/stenosis, or respiratory issues.
- Surgical technique selection varies, including laparoscopic Nissen, Toupet, Dor, Tokai University, Collis-Nissen, modified Deitel, Deitel-Nissen, resection and jejunal interposition, or double tract reconstruction, tailored to specific patient profiles and disease severity.
Impact:
- Provides a decision-making framework for managing reflux esophagitis.
- Highlights the importance of individualized surgical approach in reflux esophagitis treatment.
- Acknowledges ongoing challenges in surgical treatment for reflux esophagitis.