Lessons Learned from the History of Fundoplication

Autor:	Rafael C. Katayama, P. Marco Fisichella, Fernando A. M. Herbella, Francisco Schlottmann
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry General surgery medicine.disease humanities digestive system diseases Angle of His Medicine public health Esophageal sphincter GERD Medicine Esophagogastric junction business Foreign Bodies
Zdroj:	SN Comprehensive Clinical Medicine. 2:775-781
ISSN:	2523-8973
DOI:	10.1007/s42399-020-00311-2
Popis:	Proper workup, patient selection, and careful surgical technique based on hiatoplasty and fundoplication lead to over 90% of excellent/good results in gastroesophageal reflux disease (GERD) control. These results must be used as benchmarks when a new procedure is created (or recreated). The knowledge of the timeline of the evolution of the procedures to treat GERD may prevent the repetition of past errors. Literature review focused on the history of the procedures to treat GERD. Critical review of the history shows that the ideal antireflux procedure needs to rebuild the natural gastroesophagic barrier. An adequate barrier demands concomitant hiatoplasty, angle of His accentuation, and augmentation of the lower esophageal sphincter. All this is achieved with a fundoplication. Foreign bodies at the level of the esophagogastric junction have shown dreadful consequences. Newly developed procedures that recreate errors from the past will undoubtedly lead to poor results for GERD treatment.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::451a1e5f2c2173871c9269bbc4414b2e https://doi.org/10.1007/s42399-020-00311-2 Zobrazit plný text záznamu Full text from SpringerLink