临床荟萃
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摘要： 国内胃食管反流病（gastroesophageal reflux disease， GERD）的治疗主要还是以药物为主，然而对于难治性GERD患者则有外科治疗的适应证。从外科的角度，GERD主要是胃食管结合部抗反流屏障的减弱，腹腔镜抗反流手术主要就是通过胃底折叠来加强和修补抗反流屏障，但该手术在国内一直存在较大争议。本文就国内GERD外科治疗现状、为什么要做外科手术、手术方法、手术适应证、并发症、手术疗效、复发等GERD外科治疗相关问题进行初步探讨。
关键词: 胃食管反流, 消化系统外科手术, 胃底折叠术, 腹腔镜
Abstract: Medical therapy remains the most popular method for gastroesophageal reflux disease (GERD) in China， while surgery is indicated in patients whose disease is refractory to medical therapy. From a surgical point of view， GERD is the failure of the antireflux barrier. Laparoscopic antireflux surgery aims at reinforcing and repairing the defective barrier through plication of the gastric fundus， but surgical treatment for GERD has always been controversial. The discussion was developed in the current situation of the surgical treatment of GERD in China， surgery choice，surgical methods， indications， complications， surgical curative efficacy， recurrence and other GERD surgical treatment related issues were discussed.
Key words: gastroesophageal reflux； surgical treatment, fundoplication, laparoscope
吴继敏. 胃食管反流病外科治疗相关问题探讨[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2017.01.007.
Wu Jimin. Discussion of relevant issues about surgical treatment on gastroesophageal reflux disease#br#[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2017.01.007.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2017.01.007
https://huicui.hebmu.edu.cn/CN/Y2017/V32/I1/28
