A prospective study of the role of oesophageal reflux surgery in determining success in selected patients for gastro-esophageal reflux disease was recently completed. One hundred and sixty-two consecutive patients were treated with a modified Nissen technique for suspected GERD. Postoperative symptoms required frequent sittings at the gastroenterologist’s office and persistent pain was a common problem. Fifty-four of these patients, however, had altered esophagoscopy and an increased chance of correct classification was improved. This prospective study found no difference in the final score from those who did not undergo surgery in the process of selecting suitable candidates.
Where Is The Best The Role Of Oesophageal Reflux Surgery In Acid Reflux Disease Treatment?
The study found that there was an abnormal relaxation of the lower oesophageal sphincter, which allowed the acid from the stomach to reach the esophagus. The failure of this lower oesophageal sphincter was confirmed by endoscopic examination. This finding is consistent with previous reports of patients suffering from gastro reflux disease who experience an abnormality in the functioning of their lower oesophageal valve or whose oesophageal muscles relax without any external cause. Previous studies have also shown that in some cases, a patient with presumed gastro reflux disease but no oesophageal irregularities may have a reflux relapse shortly after a minor gastrointestinal procedure such as percutaneous vagotomy.
In the laparoscopic Nissen fundoplication procedure, the upper oesophageal sphincter is simply related, as opposed to breaking down. This allows the surgeon to access the fundus, remove scar tissue, and therefore restore proper function. This is an extremely effective treatment for chronic heartburn, GERD, and gastric reflux disease in adults. The laparoscopic system has proven extremely useful for patients suffering from chronic conditions and is now a preferred treatment compared to invasive procedures such as oesophageal stent placement or laparoscopy-based endoscopy.