Does Barrett’s esophagus impact outcome after laparoscopic Nissen fundoplication?
| Autor: | Emmanuel E. Zervos, Alexander S. Rosemurgy, Sarah M. Cowgill, Sam Al-Saadi, Desiree Villadolid |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Fundoplication Comorbidity Nissen fundoplication digestive system Gastroenterology Barrett Esophagus Internal medicine otorhinolaryngologic diseases medicine Humans Esophagus Laparoscopy Aged medicine.diagnostic_test business.industry Esophageal disease Reflux General Medicine Middle Aged medicine.disease digestive system diseases Surgery Endoscopy Treatment Outcome surgical procedures operative medicine.anatomical_structure Barrett's esophagus Gastroesophageal Reflux GERD Female business |
| Zdroj: | The American Journal of Surgery. 192:622-626 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2006.08.010 |
| Popis: | Background This study was undertaken to compare patients with gastroesophageal reflux disease (GERD) with or without Barrett’s esophagus for severity and frequency of symptoms and their response to antireflux surgery. Methods Eighty patients with GERD and Barrett’s esophagus and 93 concurrent patients with GERD alone, all of whom underwent laparoscopic Nissen fundoplication, were compared by using symptom scores graded by a Likert scale. Results Before fundoplication, patients with Barrett’s esophagus had higher DeMeester scores. Symptom scores were not different for patients with versus without Barrett’s esophagus before or after laparoscopic Nissen fundoplication. Conclusions Before and after fundoplication, patients with Barrett’s esophagus, despite more severe reflux, have symptoms nearly identical in frequency and severity when compared with patients with GERD alone. Regardless of presence of Barrett’s, all improve dramatically with laparoscopic Nissen fundoplication. Barrett’s esophagus does not impact presentation before or outcome after laparoscopic Nissen fundoplication. |
| Databáze: | OpenAIRE |
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