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[The Mexican consensus on gastroesophageal reflux disease. Part II]
F Huerta-Iga1, J L Tamayo-de la Cuesta2, A Noble-Lugo3
1Encargado del Servicio de Endoscopia, Hospital Ángeles Torreón, Coahuila, México.
Revista De Gastroenterologia De Mexico
|December 3, 2013
Summary
Endoscopic treatment for Gastroesophageal Reflux Disease (GERD) is not recommended due to lack of durability. Surgical treatment for GERD is effective when performed by experts on carefully selected patients.
Area of Science:
- Gastroenterology
- Surgical Innovation
Context:
- The 2011 Mexican Consensus updates guidelines for Gastroesophageal Reflux Disease (GERD) management.
- This Part II focuses specifically on endoscopic and surgical interventions.
Purpose:
- To provide updated recommendations on endoscopic and surgical treatments for GERD.
- To establish current best practices based on expert consensus and literature review.
Summary:
- A comprehensive literature review and modified Delphi method were used to generate 25 consensus statements.
- Endoscopic GERD treatments lack demonstrated long-term durability and symptom remission.
- Surgical treatment for GERD has well-defined indications and requires expert execution.
Impact:
- Highlights the limitations of current endoscopic GERD therapies.
- Reinforces the importance of expert surgical intervention for appropriate GERD patients.
- Aims to improve patient outcomes by refining treatment selection and execution.
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