Nissen Fundoplication and Gastrointestinal-Related Complications: A Guide for the Primary Care Physician
Nissen Fundoplication and Gastrointestinal-Related Complications: A Guide for the Primary Care Physician
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尼森胃底折叠术和胃肠道相关并发症：初级保健医生指南
DOI：
10.1097/smj.0b013e3181b672eb
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
L. Maas
中科院分区：
文献类型：
--
作者：
T. Hazan;F. Gamarra;L. Stawick;L. Maas
胃食管反流病是一种影响西方世界许多人的常见疾病。大多数患者通过抑酸治疗成功，而其他患者可能需要更多的侵入性干预。大多数接受抗反流手术的患者将有良好的结果。然而，一小部分患者会被认为手术失败，并出现新的或复发的症状，或出现术后并发症。这些症状包括但不限于吞咽困难、气胀综合征和肠道功能障碍等症状，这些症状可能会严重损害患者的健康和生活质量。随着针对这种情况的抗反流手术的数量不断增加，并发症的数量也可能变得更加普遍。初级保健医生将面临挑战，以认识到他们并开始适当的管理。在这篇综述中，我们讨论了腹腔镜下尼森基金应用中更常见的胃肠道并发症，并提供了诊断和处理的一般指南。
Gastroesophageal reflux disease is a common condition affecting many individuals in the Western world. Most patients are managed successfully with acid suppression, while others may require more invasive interventions. The majority of patients undergoing antireflux surgery will have favorable outcomes. A small percentage, however, will be considered surgical failures and will either present with new or recurrent symptoms, or develop postoperative complications. These include, but are not limited to, symptoms such as dysphagia, gas-bloat syndrome, and bowel dysfunctions that may significantly impair the patient’s health and quality of life. As the number of antireflux procedures for this condition continue to increase, the number of complications is also likely to become more prevalent. The primary care physician will be challenged to recognize them and initiate appropriate management. In this review, we address the more common gastrointestinal complications of laparoscopic Nissen fundoplication and offer general guidelines in their diagnosis and management.