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Articolul urmator |
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SM ISO690:2012 CUMPATA, Serghei. Rezultatele precoce și tardive ale chirurgiei laparoscopice a refluxului gastro-esofagian . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 405. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 405-405 | ||||||
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Background. Laparoscopic fundoplication (LF) is currently the gold standard in surgical anti-reflux treatment in patients with refractory gastroesophageal reflux disease (GERD). Despite almost 30 years of worldwide experience, FL results vary in different groups of patients. Objective of the study. The aim of this study was to analyze the early and late results of LF in different groups of patients with GERD in order to symptomatic control, healing of esophagitis and quality of life improving. Material and Methods. The studied group included 160 patients with GERD, operated in the period 2012-2019 in the Department of General Surgery no.3. Women were 99 patients (61.8%), men - 61 patients (38.2%). Patients were examined pre- and postoperatively clinically, endoscopically, radiologically and ph-metrically. Patients' quality of life was assessed using the Visick score and GERD-HRQL questionnaire. Results. 105 (66.1%) patients had typical symptoms, 13 (8.5%) - atypical, 42 (26.2%) combined features. Endoscopic: 137 (85.6%) - esophagitis of different grades; 23 (14.4%) - non-erosive form. A pathological DeMeester ph-metric index (> 14.7) was estimated at 24 (44.4%) of 54 examined. Operations performed: Nissen-Rosseti - 142 (88.7%), Toupet - 14 (8.7%), Dor - 2 (1.2%), Hill gastropexy - 2 (1.2%). Postoperative dysphagia occurred in 60 (38.2%) cases, being persistent in 3 required endodilation. The follow-up period ranged from 1 to 8 years. A Visick I-II score and decreased GERD-HRQL was observed in patients with typical symptoms, esophagitis and deviated DeMeester index. Conclusion. Surgical treatment of GERD is the only one aimed to reinforce the anatomophysiological anti-reflux barrier and is an effective method for symptomatic control, esophagitis healing and quality of life improving, both in the early postoperative and late period. |
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Cuvinte-cheie refractary GERD, laparoscopic anti-reflux surgery, BRGE refractară, chirurgie laparoscopică anti-reflux |
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