胃食管反流病的外科治疗
Surgical treatment of gastroesophageal reflux disease.
作者信息
Yates Robert B, Oelschlager Brant K
机构信息
Department of General Surgery, Center for Videoendoscopic Surgery, University of Washington, 1959 NE Pacific Street, Box 356410/Suite BB-487, Seattle, WA 98195, USA.
Division of General Surgery, Department of Surgery, Center for Esophageal and Gastric Surgery, University of Washington, 1959 NE Pacific Street, Box 356410/Suite BB-487, Seattle, WA 98195, USA.
出版信息
Surg Clin North Am. 2015 Jun;95(3):527-53. doi: 10.1016/j.suc.2015.02.007. Epub 2015 Mar 14.
Operative treatment of GERD has become more common since the introduction of LARS. Careful patient selection based on symptoms, response to medical therapy, and preoperative testing will optimize the chances for effective and durable postoperative control of symptoms. Complications of the LARS are rare and generally can be managed without reoperation. When reoperation is necessary for failed antireflux surgery, it should be performed by high-volume gastroesophageal surgeons.
自引入人工韧带重建术（LARS）以来，胃食管反流病（GERD）的手术治疗变得更为常见。基于症状、对药物治疗的反应以及术前检查进行仔细的患者选择，将优化术后有效且持久控制症状的机会。LARS的并发症很少见，一般无需再次手术即可处理。当抗反流手术失败需要再次手术时，应由经验丰富的胃食管外科医生进行。
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