Cooper J D
Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
Semin Thorac Cardiovasc Surg. 1997 Apr;9(2):157-62.
The introduction of laparoscopic techniques for performing anti-reflux surgery has led to a significant increase in the number of such procedures being performed. Furthermore, the threshold of symptoms required for performance of such procedures seems to have been lowered. For these reasons, it is more important than ever to ensure that symptoms attributed to gastroesophageal reflux are appropriately evaluated for a high rate of clinical success after anti-reflux surgery. Clinical assessment requires a careful history, expert radiographic assessment, and endoscopy by an experienced observer. Objective measurements including esophageal manometry, acid perfusion studies, and 24-hour esophageal pH monitoring continue to play an important role in the diagnosis and management of associated functional disorders of the esophagus.
腹腔镜技术用于抗反流手术的引入，使得此类手术的施行数量显著增加。此外，进行此类手术所需的症状阈值似乎有所降低。基于这些原因，比以往任何时候都更重要的是，要确保对归因于胃食管反流的症状进行适当评估，以提高抗反流手术后的临床成功率。临床评估需要详细的病史、专业的影像学评估以及由经验丰富的观察者进行的内镜检查。包括食管测压、酸灌注试验和24小时食管pH监测在内的客观测量方法，在食管相关功能障碍的诊断和管理中仍发挥着重要作用。
