RT Book, Section
A1 Wee, Jon O.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105840443
T1 Endoscopic Techniques in Antireflux Surgery
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105840443
RD 2024/04/20
AB Gastroesophageal  reflux  disease  (GERD)  is  a  clinical  condition  that  can  lead  to  esophagitis,  esophageal  strictures,  aspiration,  pneumonia,  vocal  cord  inflammation,  pulmonary  dysfunction,  Barrett  esophagus,  and  esophageal  cancer  among  others.  Forty-four  percent  of  the  general  population  has  some  reflux  and  up  to  10%  of  the  population  has  daily  reflux  symptoms.1,2  Several  factors  have  been  known  to  contribute  to  GERD  including  LES  function,  hiatal  hernias,  esophageal  dysmotility,  and  gastric  delayed  emptying.  Surgical  correction  of  reflux  disease  has  demonstrated  improvement  in  patient  symptoms,  correction  of  some  pulmonary  dysfunction,  and  may  have  a  role  in  reducing  the  incidence  of  esophageal  cancer.3  The  most  common  surgical  approach  today  is  the  laparoscopic  Nissen  fundoplication  (Chapter  39),  although  other  approaches  such  as  the  Toupet  (Chapter  40)  and  the  transthoracic  Belsey  (Chapter  38)  procedures  also  have  been  utilized.  Endoscopic  treatment  for  reflux,  however,  has  lagged  both  in  terms  of  efficacy  and  durability.  We  review  the  attempted  endoscopic  approaches  and  the  future  outlook  of  endoscopic  antireflux  surgery.