Bonavina L, Attwood S
Department of Surgery, University of Milano Medical School, Milan, Italy.
Department of Health Services Research, Durham University Medical School, Durham, UK.
Dis Esophagus. 2016 Nov;29(8):996-1001. doi: 10.1111/dote.12425. Epub 2015 Dec 17.
Reflux symptoms are very common, and despite modern medication they are a major cause of disease burden and loss of quality of life worldwide. Laparoscopic anti-reflux surgery is the only current effective alternative but suffers from the risks of long-term side effects. Surgery also suffers variation in standards and outcomes. Magnetic augmentation and electrical stimulation of the lower esophageal sphincter represent promising innovative procedures in the field.
反流症状非常常见,尽管有现代药物治疗,但它们仍是全球疾病负担和生活质量下降的主要原因。腹腔镜抗反流手术是目前唯一有效的替代方法,但存在长期副作用的风险。手术的标准和结果也存在差异。食管下括约肌的磁性增强和电刺激是该领域有前景的创新手术。