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Reflux esophagitis.

W S Payne, V F Trastek, P C Pairolero

    The Surgical Clinics of North America
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Surgical intervention for reflux esophagitis is considered when medical treatments fail and complications persist. Current surgical techniques focus on fundoplication for gastroesophageal reflux in specific patient groups.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Esophageal Disorders

    Background:

    • Reflux esophagitis is a common clinical issue with various manifestations.
    • Accurate diagnosis relies on patient history, pathophysiology understanding, and objective assessment.
    • Surgical intervention is reserved for persistent, disabling symptoms despite medical management.

    Purpose of the Study:

    • To outline the indications for surgical intervention in reflux esophagitis.
    • To describe a specific surgical technique for managing gastroesophageal reflux.
    • To define patient selection criteria for antireflux surgery.

    Main Methods:

    • Review of clinical history and pathophysiology of reflux esophagitis.
    • Objective assessment of patient's condition.

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  • Description of a surgical technique involving fundoplication.
  • Evaluation of patient selection criteria including esophageal stenosis.

    • Main Results:

    • Surgical intervention is indicated for intractable symptoms and complications unresponsive to medical therapy.
    • A specific fundoplication technique is detailed, requiring adequate esophageal peristalsis and fundus.
    • The procedure is suitable for patients without stenosis or with dilatable stenosis up to 50 French.

    Conclusions:

    • Careful patient selection and understanding of pathophysiology are crucial for managing reflux esophagitis.
    • Surgical techniques for antireflux procedures can be effective when tailored to surgeon experience and patient needs.
    • The described fundoplication technique is effective in selected patients with gastroesophageal reflux.