Singhal Vikas, Khaitan Leena
Department of GI and Bariatric Surgery, Jaypee Hospital, Wishtown Sector 128, Noida, UP 201304, India.
Department of Surgery, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Surg Clin North Am. 2015 Jun;95(3):615-27. doi: 10.1016/j.suc.2015.02.013. Epub 2015 Apr 1.
GERD is a common problem. If prolonged therapy is needed, the patient should have at least an endoscopy to assess for complications of GERD. If a surgical treatment is being considered, a thorough preoperative evaluation should be done to confirm the presence of pathologic GERD. Studies that should be done before a procedure include ambulatory pH testing, esophageal function testing, endoscopy, and esophagram. Nonacid ambulatory studies can be done in those who seem to be suffering from nonacid reflux with careful note of symptom correlation. Gastric emptying studies should be done if gastroparesis or gastric outlet obstruction is suspected. Esophageal motility disorders should be assessed with manometry, especially to evaluate for achalasia, which can mimic reflux.
胃食管反流病（GERD）是一个常见问题。如果需要长期治疗，患者至少应接受一次内镜检查以评估GERD的并发症。如果考虑进行手术治疗，应进行全面的术前评估以确认病理性GERD的存在。手术前应进行的检查包括动态pH监测、食管功能测试、内镜检查和食管造影。对于疑似非酸性反流的患者，可进行非酸性动态研究，并仔细记录症状相关性。如果怀疑有胃轻瘫或胃出口梗阻，则应进行胃排空研究。食管动力障碍应通过测压进行评估，尤其是评估是否有贲门失弛缓症，因为它可能与反流相似。
