Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
210 0 |
Căutarea după subiecte similare conform CZU |
616.329-006-089-072 (2) |
Pathology of the digestive system. Complaints of the alimentary canal (1698) |
SM ISO690:2012 ŞIPITCO, Natalia, FOSA, Doina, ROMANENCO, Richarda. Evolution of diagnostic and treatment methods of GERD. The experience of the surgery department no.4 in antireflux suregry. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 315. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | |||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | |||||
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CZU: 616.329-006-089-072 | |||||
Pag. 315-315 | |||||
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Introduction. The pathology of the esogastric junction (EGJ) is an area of interdisciplinary interest for many practitioners (endoscopist, gastroenterologist, surgeon, and imagist). Meta-analyzes show the prevalence of this pathology in Western countries of about 10-20%, compared to Asian countries where it is below 10%, in North America of 27.8% and 25.9% in Europe. Objective. The retrospective analysis of the evolution of diagnostic and treatment methods of GERD. Material and methods. The experience of our department in antireflux surgery represents 20 years (20022021) of activity, during this time 762 antireflux interventions were performed for GERD and hiatal hernias (HH). Results. Approximately 40% of all patients were unwilling to conservative antireflux treatment, and these data are in line with the world literature statistic. Moreover, the symptoms of gastroesophageal reflux disease in 24.2% of cases appeared one month after the end of conservative treatment, and in 35.8% after 6 months. The type of antireflux surgery in this period of activity was different and depended on the situation. Laparoscopic antireflux operations predominate in the majority of patients (96.6%) in the last 10 years, compared to previous years, where the rate of traditional interventions was up to 20%. The complete fundoplication Nissen-Rossetti, due to the good control of GERD, has become the main intervention of choice. Conclusions. (1) Early diagnosis of refractory forms to medical treatment requires referral of patients to laparoscopic antireflux surgery to avoid severe complications of GERD. (2) The minimally invasive approach to antireflux surgery today is the gold standard, and the use of a complete fundoplication ensures high effectiveness of these interventions. |
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Cuvinte-cheie gastroesophageal reflux disease, laparoscopic antireflux surgery, boala de reflux gastroesofagian, tratament laparoscopic antireflux |
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