Журнал гепатологии и желудочно-кишечных расстройств
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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.