Gastroesophageal Reflux Disease : Medical or Surgical Treatment?
Joint Authors
Karamanolis, George
Liakakos, Theodore D.
Patapis, Paul
Misiakos, Evangelos P.
Source
Gastroenterology Research and Practice
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-15, 15 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-12-31
Country of Publication
Egypt
No. of Pages
15
Main Subjects
Abstract EN
Background.
Gastroesophageal reflux disease is a common condition with increasing prevalence worldwide.
The disease encompasses a broad spectrum of clinical symptoms and disorders from simple heartburn without esophagitis to erosive esophagitis with severe complications, such as esophageal strictures and intestinal metaplasia.
Diagnosis is based mainly on ambulatory esophageal pH testing and endoscopy.
There has been a long-standing debate about the best treatment approach for this troublesome disease.
Methods and Results.
Medical treatment with PPIs has an excellent efficacy in reversing the symptoms of GERD, but they should be taken for life, and long-term side effects do exist.
However, patients who desire a permanent cure and have severe complications or cannot tolerate long-term treatment with PPIs are candidates for surgical treatment.
Laparoscopic antireflux surgery achieves a significant symptom control, increased patient satisfaction, and complete withdrawal of antireflux medications, in the majority of patients.
Conclusion.
Surgical treatment should be reserved mainly for young patients seeking permanent results.
However, the choice of the treatment schedule should be individualized for every patient.
It is up to the patient, the physician and the surgeon to decide the best treatment option for individual cases.
American Psychological Association (APA)
Liakakos, Theodore D.& Karamanolis, George& Patapis, Paul& Misiakos, Evangelos P.. 2009. Gastroesophageal Reflux Disease : Medical or Surgical Treatment?. Gastroenterology Research and Practice،Vol. 2009, no. 2009, pp.1-15.
https://search.emarefa.net/detail/BIM-466771
Modern Language Association (MLA)
Liakakos, Theodore D.…[et al.]. Gastroesophageal Reflux Disease : Medical or Surgical Treatment?. Gastroenterology Research and Practice No. 2009 (2009), pp.1-15.
https://search.emarefa.net/detail/BIM-466771
American Medical Association (AMA)
Liakakos, Theodore D.& Karamanolis, George& Patapis, Paul& Misiakos, Evangelos P.. Gastroesophageal Reflux Disease : Medical or Surgical Treatment?. Gastroenterology Research and Practice. 2009. Vol. 2009, no. 2009, pp.1-15.
https://search.emarefa.net/detail/BIM-466771
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466771