Aims. To assess the clinical profile of patients with gastro-esophageal prolapse and GERD and the outcome of surgical therapy. Methods. Since 1983 to 2006, 50 patients, mean age 48.84, r. 27-73 were observed. The severity of symptoms and Reflux esophagitis were graded from 0 to 3. The anatomy of the gejunction was assessed by barium swallow. Results. Median symptoms duration was 51 months (r. 2~300). Epigastric pain was in 98% of pts. Belching or gagging in 70% (35/50), Sl=38, 76%; S2=11, 22%, SR3=31, 62%; SR2=19, 38%. Reflux esophagitis in 94% (47/50; El=15, 30%; E2= 21, 42%; E3=11, 22%). At barium swallow 18 pts (36%) had normal anatomy, 11 (22%) had Sliding Hiatus Ernia, while in 21 pts (42%) the oral migration of the g-e junction. NissenFundoplication was performed in 28 (56%) with 2 Collis techniques. No mortality, morbility (7,1%), (Median FU 15 months, r 6-192 ). 22 patients underwent medical therapy (Median FU 60 months, r 24-120). Postoperative symptoms and reflux esophagitis improved statistically after surgery and after medical treatment (Preoperative versus Postoperative p = 0.000). In the comparison between surgical versus medical patients statistically significant differences were observed with regard to severity of pre-treatment reflux symptoms (p = 0.034) and with regard to post-treatment clinical evaluation of symptoms and esophagitis (p = 0.000). Conclusions. Epigastric pain, belching and gagging seem to be related to the g-e prolapse because they are reduced more by surgery than by antacid therapy. In g-e prolapse+GERD, surgery is more effective than medical therapy.
|Data di pubblicazione:||2007|
|Titolo:||The gastro-esophageal prolapse in GERD : clinical patterns and surgical outcome.|
|Autore/i:||Aramini, Beatrice; Lugaresi, Marialuisa; DI SIMONE, MASSIMO PIERLUIGI; Bartalena, Tommaso; Ferruzzi, L.; Mattioli, Sandro|
Aramini, Beatrice [Writing – Original Draft Preparation]
|Rivista:||IRISH JOURNAL OF MEDICAL SCIENCE|
|Pagina iniziale:||S220, 52|
|Pagina finale:||S220, 52|
|Citazione:||The gastro-esophageal prolapse in GERD : clinical patterns and surgical outcome / Aramini, Beatrice; Lugaresi, Marialuisa; DI SIMONE, MASSIMO PIERLUIGI; Bartalena, Tommaso; Ferruzzi, L.; Mattioli, Sandro. - In: IRISH JOURNAL OF MEDICAL SCIENCE. - ISSN 0021-1265. - vol. 176:Suppl. 5(2007), pp. S220, 52-S220, 52. ((Intervento presentato al convegno European Society of Esophagology meeting tenutosi a Dublin nel 13 th – 15 th September.|
|Tipologia||Abstract in Rivista|
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