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Current status of antireflux surgery
Derick J Christian1, Jo Buyske
1Department of Surgery, University of Pennsylvania Health System, Penn Presbyterian Medical Center, 38th and Market Street Philadelphia, PA 19104, USA.
The Surgical Clinics of North America
|September 6, 2005
Summary
This review covers the history and evolution of antireflux surgery. It emphasizes patient selection, diagnostic methods, surgical techniques, and managing complications for successful outcomes.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Antireflux surgery has evolved significantly over time.
- Effective management of gastroesophageal reflux disease (GERD) relies on surgical intervention.
Purpose of the Study:
- To provide a comprehensive overview of antireflux surgery.
- To detail historical techniques, patient selection, and management strategies.
Main Methods:
- Historical review of antireflux surgical techniques.
- Discussion of diagnostic evaluations and patient selection criteria.
- Analysis of surgical procedure details and failure management.
Main Results:
- Successful antireflux procedures depend heavily on appropriate patient selection.
- Modifications in surgical techniques have improved outcomes.
- Effective strategies exist for managing surgical failures.
Conclusions:
- A thorough understanding of antireflux surgery's history and technical aspects is crucial.
- Optimizing patient selection and management are key to successful surgical outcomes in GERD treatment.