Mehmet GÜLER, İlyas BAŞKONUŞ, Ahmet BALIK, Avni GÖKALP

Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar

Geçtiğimiz on yıl içinde, gastroözefageal reflü hastalığının tedavisinde asit salınımını düzenleyen tedavilerden çok, alt özefageal sfinkter işlevini iyileştirmeyi amaçlayan tedaviler ağırlık kazanmıştır. Minimal invazif antireflü cerrahisinin, klasik cerrahi tedavi seçeneğine oranla daha avantajlı sonuçlar vermesi gastroözefageal reflü hastalığının (GÖRH) tedavisinde cerrahinin rolünü belirgin olarak artırmıştır. Bu derlemede GÖRH'nın cerrahi tedavisinde ameliyatın açık ya da laparoskopik, fundoplikasyonun komplet ya da parsiyel yapılması, fundus mobilizasyonunun, kuruş onarımının ve buji kullanımının gerekli olup-olmadığı yolundaki güncel tartışma konuları irdelenmiştir.

Current problems treatment of gastroesophagial reflux disease

In the last decade restoration of lower esophageal sphincter function has become the choice of treatment rather than medical treatment that decrease acid secretion. The relative advantages of minimally invasive antireflux surgery to conventional surgery increase the role of surgery in treatment of gastroesophagial reflux disease. In this report the type of surgery (open vs laparoscopic), the type of fundoplication (complete vs partial), mobilization of the fundus and use of bougie are discussed.

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