This volume provides a detailed and comprehensive review of current knowledge concerning all aspects of gastroesophageal reflux disease (GERD). The opening chapters on its pathogenesis and epidemiology include discussions of Helicobacter pylori as an etiological agent, and Barrett's esophagus. The bulk of the volume is taken up with critical reviews of all the contemporary approaches to GERD - both medical and surgical (open and laparoscopic) - and presents the early results from laparoscopic trials throughout the world. The book concludes with detailed descriptions from expert practitioners of the various alternative laparoscopic fundoplication techniques. This timely publication will be of interest not only to gastroenterologists and gastrointestinal surgeons, but to all doctors and general practitioners who must advise and prescribe treatment for patients with this common, distressing, but remediable complaint.
Reihe
Sprache
Verlagsort
Zielgruppe
Für höhere Schule und Studium
Für Beruf und Forschung
Illustrationen
88 figs., 19 colored plates, 42 tab.
Maße
Gewicht
ISBN-13
978-3-8055-6476-2 (9783805564762)
Schweitzer Klassifikation
Part 1 GERD - mechanisms and diagnosis: pathogenesis; a possible role for "helicobacter pylori" in the pathogenesis of reflux oesophagus; epidemiology; clinical symptoms and prognosis; endoscopic classification of reflux oesophagitis by the MUSE system; diagnosis. Part 2 State of the art - lecture: solving the GORDian knot, I.M. Modlin et al. Part 3 GERD - nonoperative treatment: inhibition of acid secretion; treatment of motility disorders; interventional endoscopic therapy. Part 4 GERD and Barrett's oesophagus: the prognosis of Barrett's oesophagus and its relationship with GERD; endoscopic surveillance of Barrett's oesophagus; is there regression in Barrett's oesophagus?. Part 5 Surgical treatment of GERD: Nissen fundoplication - the gold standard; long-term outcome after open fundoplication; complications and late consequences of open fundoplication for GERD; laparoscopic fundoplication - history of a trend-setting operation; laparoscopic antireflux surgery - principles governing assessment of patients for endoscopic surgery and options for surgical treatment; failure and pitfalls of Nissen repair. Part 6 International results of laparoscopic fundoplication: German experience with laparoscopic antireflux surgery; laparoscopic Nissen fundoplication in the USA; early results in the Swiss experience with laparoscopic fundoplication for GERD; laparoscopic antireflux surgery in the United Kingdom and Ireland; laparoscopic floppy Nissen fundoplication - the Groote Schuur hospital experience. Part 7 Safe performance of a laparoscopic fundoplication: laparoscopic treatment of gastro-oesophageal reflux - Nissen-Rosseti fundoplication; safe performance of a laparoscopic Nissen fundoplication - standard technique II; the technique of Nissen fundoplication; laparoscopic Toupet partial fundoplication; laparoscopic anterior partial fundoplication; laparoscopic treatment of paraoesophageal hernia; laparoscopic cardiomyotomy for achalasia. Part 8 Conclusion: gastro-oesophageal reflux disease (GERD) - back to surgery?, M.W. Buchler et al.
