Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
J Gastrointest Surg. 2011 Aug;15(8):1472-6. doi: 10.1007/s11605-011-1556-0. Epub 2011 May 19.
This article reviews the current literature pertaining to the diagnosis and management of gastroesophageal reflux disease (GERD) and hiatal hernia.
GERD is one of the most common gastrointestinal disorders in the USA. For effective management, a conclusive diagnosis must be made. Most patients are effectively managed by acid suppression therapy, whereas others require procedural treatment. Endoluminal treatment of GERD is an option, but long-term results of this therapy are unknown. The "gold standard" surgical treatment of GERD is laparoscopic Nissen fundoplication. Large hiatal hernias are difficult to manage with a relatively high rate of recurrent hiatal hernia.
Whether or not to use mesh at the hiatus to decrease this occurrence is currently debatable.
本文综述了当前有关胃食管反流病（GERD）和食管裂孔疝的诊断和治疗的文献。
GERD 是美国最常见的胃肠道疾病之一。为了进行有效的管理，必须做出明确的诊断。大多数患者通过抑酸治疗即可有效管理，而其他患者则需要进行手术治疗。GERD 的内镜治疗是一种选择，但这种治疗的长期效果尚不清楚。GERD 的“金标准”手术治疗是腹腔镜 Nissen 胃底折叠术。巨大的食管裂孔疝较难处理，且复发率较高。
目前是否在裂孔处使用补片来减少这种情况的发生仍存在争议。
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