Surgical Treatment for GERD

Accession number;03A0757388
Title;Surgical Treatment for GERD
Author; SHIMADA HIDEO (Tokai Univ., Sch. of Med.) CHINO OSAMU (Tokai Univ., Sch. of Med.) NISHI TAKAYUKI (Tokai Univ., Sch. of Med.) TANAKA HIKARU (Tokai Univ., Sch. of Med.) KISE YOSHIFUMI (Tokai Univ., Sch. of Med.) KENMOCHI TAKAHIRO (Tokai Univ., Sch. of Med.) YAMAMOTO SOICHIRO (Tokai Univ., Sch. of Med.) MAKUUCHI HIROYASU (Tokai Univ., Sch. of Med.)
Journal Title;Journal of the Japan Broncho-Esophagological Society
Journal Code:Z0674A
ISSN:0029-0645
VOL.54;NO.5;PAGE.341-346(2003)
Figure&Table&Reference;FIG.4, REF.15
Pub. Country;Japan
Language;Japanese
Abstract;Treatment for GERD is generally based on a conservative approach mainly of PPI along with a correction of bad habits as already reported worldwide. However, surgery still remains a treatment for resistant cases, such as cases accompanied by a large hiatal hernia or respiratory complications. However, the concept of surgery for GERD is different from ordinary one, of which purpose is to remove legions. The surgery for GERD is to improve function not to remove. This concept makes surgeon feel difficult to perform the surgery. The same standard operation cannot be easily applied to every case, but every case must obtain an improved result after the repair of the reflux inhibitory function. The indications for the operations, as well as the choice of the appropriate operative procedure judging from the general condition of each patient, are the key points for surgical treatment. At the same time an effort to improve one's technical skill as a surgeon is also required. (author abst.)
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