Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar

Mehmet Güler; İlyas Başkonuş; Ahmet Balık; Avni Gökalp

Current problems treatment of gastroesophagial reflux disease

Yıl 2009, Cilt: 15 Sayı: 1, 80 - 87, 01.02.2009

Mehmet Güler İlyas Başkonuş Ahmet Balık Avni Gökalp

Öz

In the last decade restoration of lower esophageal sphincter function has become the choice of treatment rather than medical treatment that decrease acid secretion. The relative advantages of minimally invasive antireflux surgery to conventional surgery increase the role of surgery in treatment of gastroesophagial reflux disease. In this report the type of surgery (open vs laparoscopic), the type of fundoplication (complete vs partial), mobilization of the fundus and use of bougie are discussed.

Anahtar Kelimeler

Kaynakça

1. Soper NJ, Jones DB. Laparoscopic Nissen fundoplication
in, Baker RJ, Fischer J(eds) Mastery of Surgery (3rd ed) Philadelphia, Pa:Lippincott Williams & Wilkins; 1997:763-770
2. Granderath FA, Kamolz T, Granderath UM, Pointner R. Gas-related symptoms after laparoscopic 360 '3f Nissen or 270'3f Toupet fundoplication in gastrooesophageal reflux disease patients with aerophagia as comorbidity. Dig Liver Dis. 2007;39:312-318
3. SAGES Guidelines:GERD. Laparoscopic managament of GE reflux, http://www.sages.org/sagespubli cation. php?doc=22
4. Pessaux P, Amaud JP, Delattre JF, Meyer C, Baulieux J, Mosnier H. et al. Laparoscopic antireflux surgery. Five- year results and beyond in 1340 patients. Arch Surg
2005;140:946-951
5. Sallom AK. Laparosopic Versus Open fundoplication
http://www.laparoscopyhospital.com/Laparoscopic_Nis sen_Fundopiication_Versus_Open_Surgery.html 6. Nissen R. Eine einfache operation zur beeinflussung der refluxoesophagitis. Schweiz Med Wochenschr
1956;86:590-592
7. Toupet A. Technique d'esophagogastroplastie et de phrenogastropexie applique'e dans la cure radicale des hernies hiatales et comme complement de I'operation de Heller dans le cardiospasmus. Mem Acad Clin.l963;89:374-379
8. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc
1991; 1:138-143
9. Bowrey DJ, Peters JF. Laparoscopic esophageal surgery
Surg Clin North Am. 2000;80;1213-1242
10. Lahmann BE, Weiss CA, Adrales GL, Mastrangelo MJ Jr, Park A. Laparoscopic Fundoplication. Curr Surg
2003;60:43-46
11. Hinder RA, Smith SL, Klingler PJ, Branton SA, Floch NR, Seelig MH. et al. Laparoscopic Antireflux Surgery -It's a Wrap! Dig Surg. 1999;16:7-11
12. O'Boyle CJ, Watson DI, Jamieson GG, Myers JC, Game PA, Devitt PG. et al. Division of short gastric vessels at laparoscopic nissen fundoplication: a prospective double-blind randomized trial with 5-year follow-up. Ann Surg. 2002;235(2): 165-170
13. Pozo F, Giganto F, Rodrigo L. Clinical efficacy of the Toupet technique performed by laparoscopic surgery
Medium-term follow-up in 122 Cases. Surg Endosc
2001;15:1171-1174
14. Booth MI, Stratford J, Jones L, Dehn TC. Randomized clinical trial of laparoscopic total (Nissen) versus posterior partial (Toupet) fundoplication for gastro-oesophageal reflux disease based on preoperative oesophageal manometry. Br J Surg. 2008;95:57-63
15. Fernando HC, Luketich JD, Christie NA, Ikramuddin S, Schauer PR. et al. Outcomes of laparoscopic Toupet compared to laparoscopic Nissen fundoplication. Surg Endosc. 2002; 16:905-908
16. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, et al. Evidence-Based Appraisal of Antireflux Fundoplication. Ann Surg. 2004;239:325-337
17. Perdikis G, Hinder RA, Lund RJ, Raiser F, Katada N
et al. Laparoscopic Nissen fundoplication: where do we stand? Surg Laparosc Endosc. 1997;7:17-21
18. Carlson MA, Frantzides CT. Complications and results of primary minimally invasive antirefl ux procedures: a review of 10735 reported cases. J Am Coll Surg 2001; 193: 428-439
19. Laine S, Rantala A, Gullichsen R, Ovaska J. et al
Laparoscopic vs conventional Nissen fundoplication. A prospective randomized study. Surg Endosc
1997;ll:441-444
20. Heikkinen TJ, Haukipuro K, Bringman S, Ramel S, Sorasto A, Hulkko A. et al. Comparison of laparoscopic and open Nissen fundoplication 2 years after operation
A prospective randomized trial. Surg Endosc
2000; 14:1019-1023
21. Luostarinen M, Virtanen.J, Koskinen M, Matikainen M, Isolauri J. Dysphagia and oesophageal clearance after laparoscopic versus open Nissen fundoplication. A randomized, prospective trial. Scan J Gastroenterol
2001;36:565-571, 22. Chrysos E, Tsiaoussis J, Athanasakis E, Zoras O, Vassilakis JS, Xynos E. et al. Laparoscopic vs open approach for Nissen fundoplication. Surg Endosc
2002; 16:1679-1684
23. Zügel N, Jung C, Bruer C, Sommer P, Breitschaft K
A comparison of laparoscopic Toupet versus Nissen fundoplication in gastroesophageal reflux disease
Langenbeck's Arch Surg. 2002;386:494-498
24. Strate U, Emmermann A, Fibbe C, Layer P, Zornig C
Laparoscopic fundoplication: Nissen versus Toupet two- year outcome of a prospective randomized study of 200 patients regarding preoperative esophageal motility. Surg Endosc. 2008;22:21-30
25. Oleynikov D, Eubanks TR, Oelschlager BK, Pellegrini CA. Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis. Surg Endosc. 2002;16:909-913
26. Bell RC, Hanna P, Mills MR, Bowrey D. Patterns of success and failure with laparoscopic Toupet fundoplication. Surg Endosc. 1999;13:1189-1194
27. Horvath KD, Jobe BA, Herron DM, Swanstrom LL
Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg. 1999;3:583-591
28. Erenoglu C, Miller A, Schirmer B. Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease. Int Surg. 2003;88:219-225
29. Chrysos E, Tsiaoussis J, Zoras OJ, Athanasakis E, Mantides A, Katsamouris A. et al. Laparoscopic surgery for gastroesophageal reflux disease patients with impaired esophageal peristalsis: total or partial fundoplication? J Am Coll Surg. 2003;197:8-15
30. Strate U, Emmermann A, Fibbe C, Layer P, Zornig C
Nissen versus Toupet fundoplication A prospective randomized study of 200 patients with and withouth preoperative esophageal motility disorders. Surg Endosc
2002;16:758-766
31. Sgromo B, Irvine LA, Cuschieri A, Shimi SM. Long- term comparative outcome between laparoscopic total Nissen and Toupet fundoplication: Symptomatic relief, patient satisfaction and quality of life. Surg Endosc
2008:22;1048-1053
32. Guerin E, Betroune K, Closset J, Mehdi A, Lefebvre JC, Houben JJ et al. Nissen versus Toupet fundoplication: result of randomized and multicenter trial. Surg Endosc
2007:21;1985-1990
33. Rosenthal R, Peterli R, Guenin MO, von Flüe M, Ackermann C. Laparoscopic antireflux surgery: long-term outcomes and quality of life. J Laparoendosc Adv Surg Tech A. 2006:16;557-561
34. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S
Causes of failures of laparoscopic antireflux operations
Surg Endosc. 1996; 10:305-310
35. Watson DI, de Beaux AC. Complications of laparoscopic antireflux surgery. Surg Endosc. 2001;15:344-352
36. Underwood RA, Dunnegan DL, Soper NJ. Prospective randomized trial of bipolar electrosurgery vs ultrasonic coagulation for division of short gastric vessels during laparoscopic Nissen fundoplication. Surg Endosc. 1999; 13:763-768
37. Watson DI, Jamieson GG, Mitchell PC, Devitt PG, Britten-Jones R. Stenosis of the esophageal hiatus following laparoscopic fundoplication. Arch Surg
1995;130:1014-1016
38. Granderath FA, Schweiger UM, Kamolz T, Pasiut M, Haas CF, Pointner R. et al. Laparoscopic antireflux surgery with routine mesh-hiatoplasty in the treatment of gastroesophageal reflux disease. J Gastrointest Surg
2002;6:347-353
39. Patterson EJ, Herron DM, Hansen PD, Ramzi N, Standage BA, Swanstrom LL et a I. Effect of an esophageal bougie on the incidence of dysphagia following Nissen fundoplication. A prospective, blinded, randomized clinical trial. Arch Surg. 2000; 135:1055-1062
40. Novitsky YW, Kercher KW, Callery MP, Czerniach DR, Kelly JJ, Litwin DE. et al. Is the use of a bougie necessary for laparoscopic Nissen fundoplication? Arch Surg
2002; 137:402-406

Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar

Yıl 2009, Cilt: 15 Sayı: 1, 80 - 87, 01.02.2009

Mehmet Güler İlyas Başkonuş Ahmet Balık Avni Gökalp

Öz

Geçtiğimiz on yıl içinde, gastroözefageal reflü hastalığının tedavisinde asit salınımını düzenleyen tedavilerden çok, alt özefageal sfinkter işlevini iyileştirmeyi amaçlayan tedaviler ağırlık kazanmıştır. Minimal invazif antireflü cerrahisinin, klasik cerrahi tedavi seçeneğine oranla daha avantajlı sonuçlar vermesi gastroözefageal reflü hastalığının (GÖRH) tedavisinde cerrahinin rolünü belirgin olarak artırmıştır. Bu derlemede GÖRH'nın cerrahi tedavisinde ameliyatın açık ya da laparoskopik, fundoplikasyonun komplet ya da parsiyel yapılması, fundus mobilizasyonunun, kuruş onarımının ve buji kullanımının gerekli olup-olmadığı yolundaki güncel tartışma konuları irdelenmiştir.

Anahtar Kelimeler

GÖRH, Cerrahi, Laparoskopi, Fundoplikasyon

Kaynakça

1. Soper NJ, Jones DB. Laparoscopic Nissen fundoplication
in, Baker RJ, Fischer J(eds) Mastery of Surgery (3rd ed) Philadelphia, Pa:Lippincott Williams & Wilkins; 1997:763-770
2. Granderath FA, Kamolz T, Granderath UM, Pointner R. Gas-related symptoms after laparoscopic 360 '3f Nissen or 270'3f Toupet fundoplication in gastrooesophageal reflux disease patients with aerophagia as comorbidity. Dig Liver Dis. 2007;39:312-318
3. SAGES Guidelines:GERD. Laparoscopic managament of GE reflux, http://www.sages.org/sagespubli cation. php?doc=22
4. Pessaux P, Amaud JP, Delattre JF, Meyer C, Baulieux J, Mosnier H. et al. Laparoscopic antireflux surgery. Five- year results and beyond in 1340 patients. Arch Surg
2005;140:946-951
5. Sallom AK. Laparosopic Versus Open fundoplication
http://www.laparoscopyhospital.com/Laparoscopic_Nis sen_Fundopiication_Versus_Open_Surgery.html 6. Nissen R. Eine einfache operation zur beeinflussung der refluxoesophagitis. Schweiz Med Wochenschr
1956;86:590-592
7. Toupet A. Technique d'esophagogastroplastie et de phrenogastropexie applique'e dans la cure radicale des hernies hiatales et comme complement de I'operation de Heller dans le cardiospasmus. Mem Acad Clin.l963;89:374-379
8. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc
1991; 1:138-143
9. Bowrey DJ, Peters JF. Laparoscopic esophageal surgery
Surg Clin North Am. 2000;80;1213-1242
10. Lahmann BE, Weiss CA, Adrales GL, Mastrangelo MJ Jr, Park A. Laparoscopic Fundoplication. Curr Surg
2003;60:43-46
11. Hinder RA, Smith SL, Klingler PJ, Branton SA, Floch NR, Seelig MH. et al. Laparoscopic Antireflux Surgery -It's a Wrap! Dig Surg. 1999;16:7-11
12. O'Boyle CJ, Watson DI, Jamieson GG, Myers JC, Game PA, Devitt PG. et al. Division of short gastric vessels at laparoscopic nissen fundoplication: a prospective double-blind randomized trial with 5-year follow-up. Ann Surg. 2002;235(2): 165-170
13. Pozo F, Giganto F, Rodrigo L. Clinical efficacy of the Toupet technique performed by laparoscopic surgery
Medium-term follow-up in 122 Cases. Surg Endosc
2001;15:1171-1174
14. Booth MI, Stratford J, Jones L, Dehn TC. Randomized clinical trial of laparoscopic total (Nissen) versus posterior partial (Toupet) fundoplication for gastro-oesophageal reflux disease based on preoperative oesophageal manometry. Br J Surg. 2008;95:57-63
15. Fernando HC, Luketich JD, Christie NA, Ikramuddin S, Schauer PR. et al. Outcomes of laparoscopic Toupet compared to laparoscopic Nissen fundoplication. Surg Endosc. 2002; 16:905-908
16. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, et al. Evidence-Based Appraisal of Antireflux Fundoplication. Ann Surg. 2004;239:325-337
17. Perdikis G, Hinder RA, Lund RJ, Raiser F, Katada N
et al. Laparoscopic Nissen fundoplication: where do we stand? Surg Laparosc Endosc. 1997;7:17-21
18. Carlson MA, Frantzides CT. Complications and results of primary minimally invasive antirefl ux procedures: a review of 10735 reported cases. J Am Coll Surg 2001; 193: 428-439
19. Laine S, Rantala A, Gullichsen R, Ovaska J. et al
Laparoscopic vs conventional Nissen fundoplication. A prospective randomized study. Surg Endosc
1997;ll:441-444
20. Heikkinen TJ, Haukipuro K, Bringman S, Ramel S, Sorasto A, Hulkko A. et al. Comparison of laparoscopic and open Nissen fundoplication 2 years after operation
A prospective randomized trial. Surg Endosc
2000; 14:1019-1023
21. Luostarinen M, Virtanen.J, Koskinen M, Matikainen M, Isolauri J. Dysphagia and oesophageal clearance after laparoscopic versus open Nissen fundoplication. A randomized, prospective trial. Scan J Gastroenterol
2001;36:565-571, 22. Chrysos E, Tsiaoussis J, Athanasakis E, Zoras O, Vassilakis JS, Xynos E. et al. Laparoscopic vs open approach for Nissen fundoplication. Surg Endosc
2002; 16:1679-1684
23. Zügel N, Jung C, Bruer C, Sommer P, Breitschaft K
A comparison of laparoscopic Toupet versus Nissen fundoplication in gastroesophageal reflux disease
Langenbeck's Arch Surg. 2002;386:494-498
24. Strate U, Emmermann A, Fibbe C, Layer P, Zornig C
Laparoscopic fundoplication: Nissen versus Toupet two- year outcome of a prospective randomized study of 200 patients regarding preoperative esophageal motility. Surg Endosc. 2008;22:21-30
25. Oleynikov D, Eubanks TR, Oelschlager BK, Pellegrini CA. Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis. Surg Endosc. 2002;16:909-913
26. Bell RC, Hanna P, Mills MR, Bowrey D. Patterns of success and failure with laparoscopic Toupet fundoplication. Surg Endosc. 1999;13:1189-1194
27. Horvath KD, Jobe BA, Herron DM, Swanstrom LL
Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg. 1999;3:583-591
28. Erenoglu C, Miller A, Schirmer B. Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease. Int Surg. 2003;88:219-225
29. Chrysos E, Tsiaoussis J, Zoras OJ, Athanasakis E, Mantides A, Katsamouris A. et al. Laparoscopic surgery for gastroesophageal reflux disease patients with impaired esophageal peristalsis: total or partial fundoplication? J Am Coll Surg. 2003;197:8-15
30. Strate U, Emmermann A, Fibbe C, Layer P, Zornig C
Nissen versus Toupet fundoplication A prospective randomized study of 200 patients with and withouth preoperative esophageal motility disorders. Surg Endosc
2002;16:758-766
31. Sgromo B, Irvine LA, Cuschieri A, Shimi SM. Long- term comparative outcome between laparoscopic total Nissen and Toupet fundoplication: Symptomatic relief, patient satisfaction and quality of life. Surg Endosc
2008:22;1048-1053
32. Guerin E, Betroune K, Closset J, Mehdi A, Lefebvre JC, Houben JJ et al. Nissen versus Toupet fundoplication: result of randomized and multicenter trial. Surg Endosc
2007:21;1985-1990
33. Rosenthal R, Peterli R, Guenin MO, von Flüe M, Ackermann C. Laparoscopic antireflux surgery: long-term outcomes and quality of life. J Laparoendosc Adv Surg Tech A. 2006:16;557-561
34. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S
Causes of failures of laparoscopic antireflux operations
Surg Endosc. 1996; 10:305-310
35. Watson DI, de Beaux AC. Complications of laparoscopic antireflux surgery. Surg Endosc. 2001;15:344-352
36. Underwood RA, Dunnegan DL, Soper NJ. Prospective randomized trial of bipolar electrosurgery vs ultrasonic coagulation for division of short gastric vessels during laparoscopic Nissen fundoplication. Surg Endosc. 1999; 13:763-768
37. Watson DI, Jamieson GG, Mitchell PC, Devitt PG, Britten-Jones R. Stenosis of the esophageal hiatus following laparoscopic fundoplication. Arch Surg
1995;130:1014-1016
38. Granderath FA, Schweiger UM, Kamolz T, Pasiut M, Haas CF, Pointner R. et al. Laparoscopic antireflux surgery with routine mesh-hiatoplasty in the treatment of gastroesophageal reflux disease. J Gastrointest Surg
2002;6:347-353
39. Patterson EJ, Herron DM, Hansen PD, Ramzi N, Standage BA, Swanstrom LL et a I. Effect of an esophageal bougie on the incidence of dysphagia following Nissen fundoplication. A prospective, blinded, randomized clinical trial. Arch Surg. 2000; 135:1055-1062
40. Novitsky YW, Kercher KW, Callery MP, Czerniach DR, Kelly JJ, Litwin DE. et al. Is the use of a bougie necessary for laparoscopic Nissen fundoplication? Arch Surg
2002; 137:402-406

Toplam 67 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Bölüm	Makaleler
Yazarlar	Mehmet Güler Bu kişi benim İlyas Başkonuş Bu kişi benim Ahmet Balık Bu kişi benim Avni Gökalp Bu kişi benim
Yayımlanma Tarihi	1 Şubat 2009
Yayımlandığı Sayı	Yıl 2009 Cilt: 15 Sayı: 1

Kaynak Göster

APA	Güler, M., Başkonuş, İ., Balık, A., Gökalp, A. (2009). Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar. Gaziantep Medical Journal, 15(1), 80-87.
AMA	Güler M, Başkonuş İ, Balık A, Gökalp A. Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar. Gaziantep Medical Journal. Şubat 2009;15(1):80-87.
Chicago	Güler, Mehmet, İlyas Başkonuş, Ahmet Balık, ve Avni Gökalp. “Gaströzefageal Reflü hastalığının Cerrahi Tedavisinde güncel Sorunlar”. Gaziantep Medical Journal 15, sy. 1 (Şubat 2009): 80-87.
EndNote	Güler M, Başkonuş İ, Balık A, Gökalp A (01 Şubat 2009) Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar. Gaziantep Medical Journal 15 1 80–87.
IEEE	M. Güler, İ. Başkonuş, A. Balık, ve A. Gökalp, “Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar”, Gaziantep Medical Journal, c. 15, sy. 1, ss. 80–87, 2009.
ISNAD	Güler, Mehmet vd. “Gaströzefageal Reflü hastalığının Cerrahi Tedavisinde güncel Sorunlar”. Gaziantep Medical Journal 15/1 (Şubat 2009), 80-87.
JAMA	Güler M, Başkonuş İ, Balık A, Gökalp A. Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar. Gaziantep Medical Journal. 2009;15:80–87.
MLA	Güler, Mehmet vd. “Gaströzefageal Reflü hastalığının Cerrahi Tedavisinde güncel Sorunlar”. Gaziantep Medical Journal, c. 15, sy. 1, 2009, ss. 80-87.
Vancouver	Güler M, Başkonuş İ, Balık A, Gökalp A. Gaströzefageal reflü hastalığının cerrahi tedavisinde güncel sorunlar. Gaziantep Medical Journal. 2009;15(1):80-7.

Makale Dosyaları

Tam Metin