Yan Chao, Hu Zhi-Wei, Wu Ji-Min, Zhang Chao, Yan Liang, Wang Zhong-Gao
Department of Vascular Surgery, Xuan Wu Hospital, Capital Medical University Department of Gastroesophageal Reflux Disease, The General Hospital of the PLA Rocket, Beijing, China.
Medicine (Baltimore). 2017 Jan;96(3):e5771. doi: 10.1097/MD.0000000000005771.
The patient had symptoms of GERD and the reflux even caused the symptom of cough. Gaining weight is a risk factor for the treatment of reflux as it could exacerbated symptoms of reflux and the drug treatment is not effective. Surgical intervention becomes necessary when there is failure following conservative medical therapy or the patient.
The patient was not satisfied with the drug treatment.
Superior mesenteric artery syndrome, gastroesophageal reflux disease.
Laparoscopic Toupet fundoplication with duodenojejunostomy.
The patient discharged from hospital 10 days after surgery without any postoperative complication. The patient achieved complete relief of symptoms and discontinuation of drug.
Superior mesenteric artery (SMA) syndrome may manifest the symptoms of GERD such as heartburn, acid reflux and cough. It is necessary to complete examination to exclude superior mesenteric artery syndrome for these patients. Laparoscopic fundoplication with duodenojejunostomy provided an effective treatment for patients who failed drug treatment.
患者有胃食管反流病（GERD）症状，反流甚至引发了咳嗽症状。体重增加是反流治疗的一个风险因素，因为它可能会加重反流症状，且药物治疗无效。当保守药物治疗失败或患者出现相关情况时，手术干预就变得必要。
患者对药物治疗不满意。
肠系膜上动脉综合征，胃食管反流病。
腹腔镜下杜普伊特伦胃底折叠术联合十二指肠空肠吻合术。
患者术后10天出院，无任何术后并发症。患者症状完全缓解，停止用药。
肠系膜上动脉（SMA）综合征可能表现出GERD的症状，如烧心、反酸和咳嗽。对于这些患者，有必要进行全面检查以排除肠系膜上动脉综合征。腹腔镜胃底折叠术联合十二指肠空肠吻合术为药物治疗失败的患者提供了一种有效的治疗方法。
