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Laparoscopic antireflux surgery: how I do it?
Francisco Schlottmann1,2, Fernando A M Herbella3, Marco G Patti4,5
1Department of Surgery, University of North Carolina at Chapel Hill, 4030 Burnett Womack Building, 101 Manning Drive, CB 7081, Chapel Hill, NC, 27599-7081, USA. fschlottmann@hotmail.com.
Updates in Surgery
|July 25, 2018
Summary
Gastroesophageal reflux disease (GERD) affects many people, with surgery being an option when medications fail or are not desired. Laparoscopic antireflux surgery can effectively manage GERD symptoms and avoid long-term medication use.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Gastroesophageal reflux disease (GERD) impacts approximately 20% of the US population, with rising global prevalence.
- While lifestyle changes and proton pump inhibitors (PPIs) manage most cases, some patients require alternatives due to incomplete symptom control, desire to avoid long-term medication, or PPI-related complications.
Purpose of the Study:
- To highlight the role and critical technical aspects of laparoscopic antireflux surgery for patients with refractory GERD.
- To emphasize the benefits of surgical intervention in controlling both esophageal and extra-esophageal symptoms and eliminating the need for lifelong medical therapy.
Main Methods:
- Review of current literature and surgical principles for laparoscopic antireflux procedures.
- Focus on key technical elements crucial for successful surgical outcomes in GERD management.
Main Results:
- Laparoscopic antireflux surgery offers a viable solution for patients unresponsive to or intolerant of medical management.
- Proper surgical technique is essential for achieving symptom control and minimizing postoperative complications.
Conclusions:
- Laparoscopic antireflux surgery provides an effective alternative to long-term PPI use for select GERD patients.
- Attention to surgical detail is paramount for optimizing patient outcomes and avoiding adverse effects.
