జర్నల్ ఆఫ్ హెపటాలజీ అండ్ గ్యాస్ట్రోఇంటెస్టినల్ డిజార్డర్స్
అందరికి ప్రవేశం

నైరూప్య

ANTIREFLUX SURGERY IN SPECIAL PRESENTATIONS OF PATIENTS

Almahfooz Near N

Gastro-esophageal reflux disease (GERD) was defined according to the Montreal consensus as “a condition which develops when the reflux of stomach contents causes troublesome symptoms and/or complications”. A recent randomized-controlled trial showed that laparo­scopic Nissen fundoplication was superior to medication in reduc­ing reflux-related heartburn. Antireflux surgery represented by Nissen fundoplication is a valuable solution in typical GERD cases. For patients presented with one of the different presentations; like failed previous fundoplication, Non-Erosive Reflux Disease (NERD), Barrett’s dysplasia, and esophageal dysmotility, a complete or partial wrap should be cautiously decided.