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Surgical Anti-Reflux Options Beyond Fundoplication
1Section of Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680A, Stanford, CA, 94305-5655, USA.
Current Gastroenterology Reports
|July 21, 2017
Summary
Beyond traditional fundoplication, alternative surgical options like magnetic sphincter augmentation and gastric bypass offer new management strategies for gastroesophageal reflux disease (GERD). These procedures address fundoplication
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Fundoplication is a standard surgical treatment for gastroesophageal reflux disease (GERD).
- Limitations of fundoplication include symptom recurrence, dysphagia, and gas bloating.
Purpose of the Study:
- To review current and future surgical interventions for GERD beyond fundoplication.
- To examine indications and outcomes of alternative surgical procedures for GERD management.
Main Methods:
- Literature review of surgical interventions for GERD.
- Analysis of alternative procedures to fundoplication.
Main Results:
- Alternative surgical options for GERD include magnetic sphincter augmentation, electrical stimulation, and Roux-en-Y gastric bypass.
- These alternatives address shortcomings of fundoplication.
- Surgical management is indicated for patients failing or intolerant to medical therapy.
Conclusions:
- Several effective surgical options exist for GERD management beyond fundoplication.
- Patient-specific factors and prior interventions guide the choice of alternative procedures.
- These advanced techniques aim to improve outcomes and mitigate complications associated with traditional GERD surgery.
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