LAP AROSCOPIC MANAGEMENT OF GASTRO- I I OESOPHAGEAL REFLUX DISEASE PROCEDURES
Ahmed Mohamed El Shaer;
Abstract
Gastro-esophageal reflux disease GERD is a common disease that account for approximately 75% of esophageal pathology.
The common clinical presentation is heart burn, the important complication are stricture, shortening of the esophagus, which lead to motor disturbance and vicious circle will be encountered.
The history and 24 hours pH manometry provide a sufficient diagnostic information in most cases. Other studies including endoscopy with biopsy and esophageal manometry are also very important 1n diagnosis.
Deficient lower esophageal sphincter pressure is the most common abnormality described, but when abnormal manometric values are combined with abnormal results of 24- hours esophageal pH monitoring, one can be reasonably certain that the pathologic reflux is a result of a mechanically defective sphincter.
Thus, the lower esophageal sphincter pressure measurement has many values, as evaluation the efficiency of fundoplication since successful surgical procedures result in considerable elevation of pressure.
The common clinical presentation is heart burn, the important complication are stricture, shortening of the esophagus, which lead to motor disturbance and vicious circle will be encountered.
The history and 24 hours pH manometry provide a sufficient diagnostic information in most cases. Other studies including endoscopy with biopsy and esophageal manometry are also very important 1n diagnosis.
Deficient lower esophageal sphincter pressure is the most common abnormality described, but when abnormal manometric values are combined with abnormal results of 24- hours esophageal pH monitoring, one can be reasonably certain that the pathologic reflux is a result of a mechanically defective sphincter.
Thus, the lower esophageal sphincter pressure measurement has many values, as evaluation the efficiency of fundoplication since successful surgical procedures result in considerable elevation of pressure.
Other data
| Title | LAP AROSCOPIC MANAGEMENT OF GASTRO- I I OESOPHAGEAL REFLUX DISEASE PROCEDURES | Other Titles | علاج الأرتجاع المريئى بواسطة المنظار الجراحى | Authors | Ahmed Mohamed El Shaer | Issue Date | 2006 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.