Altieri Maria S, Pryor Aurora D
Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 101 Nicolls Road, Stony Brook, NY 11794, USA.
Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 101 Nicolls Road, Stony Brook, NY 11794, USA.
Surg Clin North Am. 2015 Jun;95(3):579-91. doi: 10.1016/j.suc.2015.02.010. Epub 2015 Apr 15.
GERD is a significant comorbidity in bariatric patients preoperatively and postoperatively. Surgeons should be aware of appropriate evaluation, procedures choices, and management options. Revision surgery for reflux symptoms is common and appropriate anatomy and outcomes should be considered when offering these interventions to our patients. Patient selection is important to ensure avoiding postoperative development or worsening of GERD.
胃食管反流病(GERD)是肥胖症患者术前和术后的一种重要合并症。外科医生应了解适当的评估、手术方式选择和管理方案。针对反流症状的翻修手术很常见,在为患者提供这些干预措施时应考虑合适的解剖结构和手术效果。患者选择对于确保避免术后发生GERD或使其恶化很重要。