Smith C Daniel
Department of Surgery, Mayo Clinic-Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Surg Clin North Am. 2008 Oct;88(5):943-58, v. doi: 10.1016/j.suc.2008.06.003.
Antireflux surgery (ARS) is appropriate and effective management for patients who have gastroesophageal reflux disease (GERD) refractory to medical management, who are on lifelong acid suppression, or who are experiencing side effects of the medical management. Over the past 2 decades, the operations have evolved from predominantly open thoracic approaches to a predominantly laparoscopic abdominal approach with similar, if not better, outcomes. The success of ARS in managing GERD lies largely in an understanding of GERD and its diagnosis, proper patient selection, sound surgical technique, and postoperative management.
抗反流手术（ARS）对于那些药物治疗无效、需要终身抑制胃酸或正在经历药物治疗副作用的胃食管反流病（GERD）患者而言，是一种合适且有效的治疗方法。在过去20年里，手术方式已从主要的开胸手术演变为主要的腹腔镜腹部手术，即便没有更好的效果，至少 outcomes 相似。ARS 在治疗 GERD 方面的成功很大程度上取决于对 GERD 及其诊断的理解、正确的患者选择、可靠的手术技术以及术后管理。
