肝臓学および胃腸疾患ジャーナル
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概要

Antireflux Surgery in Special Presentations

Nezar A. Almahfooz

Gastro-esophageal reflux disease (GERD) was defined according to the Montreal consensus as “a condition which develops
when the reflux of stomach contents causes troublesome symptoms and/or complications”. A recent randomized-controlled
trial showed that laparoscopic
Nissen fundoplication was superior to medication in reducing
reflux-related heartburn5.
Antireflux surgery represented by Nissen fundoplication is a valuable solution in typical GERD cases. For patients presented
with one of the different presentations; like failed previous fundoplication, Non-Erosive Reflux Disease (NERD), Barrett’s
dysplasia, and esophageal dysmotility, a complete or partial wrap should be cautiously decided