Year 2021 / Volume 113 / Number 5
Review
Gastro-esophageal reflux disease: limits of medical treatment and surgical indications

356-363

DOI: 10.17235/reed.2020.7648/2020

Antonio Ruiz de León San Juan, Julio Pérez de la Serna Bueno, María Concepción Sevilla Mantilla, José Miguel Esteban López-Jamar, Andrés Sánchez Pernaute,

Abstract
Proton-pump inhibitors (PPI) have long been considered as the ideal treatment for gastroesophageal reflux disease (GERD), and their limitations and side effects have revealed a need for new therapeutic approaches. At present, the therapeutic gains achieved are relatively small or limited to groups of patients with specific characteristics. This article updates the contributions, indications, and limitations of pharmacological, endoscopic, and surgical treatment.
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29/07/2021 22:10:52
Para revisión del tema. Muchos pacientes con problemas ácido pépticos


05/07/2021 20:49:27
EXCELENTE REVISION, SOLO COMETARIA QUE en la actualidad ,la presencia de una hernia hiatal asociada a esofagitis grado iii y iv (hiatos tipo III Y IV DE HILL ), reo que los consensos considerar la mejor opcion quirurgica laparoscopica,pos el defecto anatomico, que definitivamente la cirugia lo corrige ,pues los metodos endoecopicos, no logran reparar el hiato y el cierre de los pilares y defnitivamente en casos, refractarios post quirurgicos creo que hoy se poseciona muy bien la derivacion gastrica bariatrica (BY PASS) bariatrico omo definitivo de mejorar el refujo
LA presencia del Barrets seguira siendo aun un reto por la posibilidad de twener imploicaciones geneticas y aun asociadas posiblemente a un REFLUJO NO ACIDO (BILIAR) con riesgo de cancer aun post cirugia antireflujo 1-2% en 10 años por lo cual creo que le reseccion(ESD) y ablacion-radiofrecuencia o aun crioablacion , en estos casos seran menos y invasivos y con resultados alagadores a mediano y largo plazo aparentemente
gracias por compartir esta actualizacion ATTE GABRIEL H CARDENAS GALVIS .Cali U del V -profesor asistente cirugia y endoscopia gastroqrca -Colombia


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Ruiz de León San Juan A, Pérez de la Serna Bueno J, Sevilla Mantilla M, Esteban López-Jamar J, Sánchez Pernaute A. Gastro-esophageal reflux disease: limits of medical treatment and surgical indications. 7648/2020


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Publication history

Received: 11/11/2020

Accepted: 10/12/2020

Online First: 04/01/2021

Published: 10/05/2021

Article revision time: 1 days

Article Online First time: 54 days

Article editing time: 180 days


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