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Related Concept Videos

Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Inflammatory Bowel Disease V: Surgical Management

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Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Updated: Jun 28, 2026

Technical Considerations and Approach to Redo Foregut Surgery
04:14

Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Tailored antireflux surgery.

Z Kala1, P Weber, V Prochazka

  • 1Department of Surgery, Faculty of Medicine Masaryk University and Faculty Hospital Brno, Brno, Czech Republic.

The Journal of Nutrition, Health & Aging
|October 28, 2008
PubMed
Summary
This summary is machine-generated.

Antireflux surgery is a safe and effective treatment for GERD in elderly patients, showing zero mortality and low morbidity. Tailored surgical approaches, including Toupet

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Geriatric Medicine

Background:

  • Lower esophageal sphincter function declines with age, increasing GERD risk.
  • Advances in peri-operative care and laparoscopy enhance surgical safety for elderly GERD patients.

Purpose of the Study:

  • To evaluate the long-term outcomes of tailored antireflux surgery in patients over 60 years old.
  • Assess the safety and efficacy of surgical GERD treatment in an elderly cohort.

Main Methods:

  • Retrospective analysis of 70 elderly patients (age > 60) who underwent antireflux surgery between 1999 and 2005.
  • Exclusion criteria included ASA IV classification and severe esophageal dysmotility.
  • Surgical techniques involved Nissen-Rossetti or Toupet's wrap based on patient-specific esophageal parameters.

Main Results:

  • Zero mortality and no significant postoperative dysphagia were observed.
  • Pathological gastro-esophageal reflux occurred in 8.6% of elderly patients, a slightly higher rate than in younger cohorts.
  • Toupet's wrap was frequently utilized in elderly patients with specific esophageal conditions.

Conclusions:

  • Antireflux surgery demonstrates good long-term results in the elderly population.
  • Zero mortality and low morbidity are achievable, supporting its use in geriatric GERD management.
  • Tailored surgical approaches, particularly the Toupet's wrap, are effective for elderly patients.