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Surgical and Endoscopic Approaches to GERD

Chapter
Part of the Respiratory Medicine book series (RM, volume 2)

Abstract

It is estimated that gastroesophageal reflux (GER) symptoms are seen in up to 40% of adults in the USA. Gastroesophageal reflux disease (GERD) is defined as symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus [1].

Keywords

Endoscopic Surgical approaches Gastroesophageal reflux disease (GERD) Diagnosing GERD Selecting the best therapy Surgical management of GERD 

References

  1. 1.
    De Vault KR, Castell DO. Updated guidelines for the diagnosis and treatment of ­gastroesophageal reflux disease. Am J Gastroenterol. 2005;100:190–200.CrossRefGoogle Scholar
  2. 2.
    Jaspersen D, Kulig M, Labenz J, et al. Prevalence of extra-oesophageal manifestations in gastro-oesophageal reflux disease: an analysis based on the ProGERD study. Aliment Pharmocal Ther. 2003;17:1515–20.CrossRefGoogle Scholar
  3. 3.
    Tobin RW, Pope CE, Pellegrini CA, et al. Increased prevalence of gastroesophageal reflux in patients with idiopathic pulmonary fibrosis. Am J Resp Crit Care Med. 1998;158(6):1804–8.PubMedGoogle Scholar
  4. 4.
    Raghu G, Freudenberger TD, Yang S, et al. High prevalence of abnormal acid gastro-oesophageal reflux in idiopathic pulmonary fibrosis. Eur Respir J. 2006;27(1):136–42.PubMedCrossRefGoogle Scholar
  5. 5.
    Sweet MP, Patti MG, Hoopes C, Hays SR, Golden JA. Gastro-oesophageal reflux and aspiration in patients with advanced lung disease. Thorax. 2009;64(2):167–73.PubMedCrossRefGoogle Scholar
  6. 6.
    Pellegrini CA, DeMeester TR, Johnson LF, Skinner DB. Gastroesophageal reflux and pulmonary aspiration: incidence, functional abnormality, and results of surgical therapy. Surgery. 1979;86(1):110–9.PubMedGoogle Scholar
  7. 7.
    Larrian A, Carrasco E, Galleguillos F, et al. Medical and surgical treatment of nonallergic asthma associated with gastroesophageal reflux. Chest. 1991;99:1330–5.CrossRefGoogle Scholar
  8. 8.
    So JB, Zeitels SM, Rattner DW, et al. Outcomes of atypical symptoms attributed to gastroesophageal reflux treated by laparoscopic fundoplication. Surgery. 1998;1245:28–32.CrossRefGoogle Scholar
  9. 9.
    Floch N. Surgical therapy for atypical symptoms of GERD. J Clin Gastroenterol. 2000;30:S45–7.PubMedGoogle Scholar
  10. 10.
    Kaufman JA, Houghland JE, Quiroga E, et al. Long-term outcomes of laparoscopic antireflux surgery for gastroesophageal reflux disease (GERD)-related airway disorder. Surg Endosc. 2006;20:1824–30.PubMedCrossRefGoogle Scholar
  11. 11.
    Eubanks TR, Omelanczuk PE, Maronia N, et al. Pharyngeal pH monitoring in 222 patients with suspected laryngeal reflux. J Gastrointest Surg. 2001;5:183–90.PubMedCrossRefGoogle Scholar
  12. 12.
    Patti MG, Arcerito M, Tamburini A, et al. Effect of laparoscopic fundoplication on gastroesophageal reflux disease-induced respiratory symptoms. J Gastrointest Surg. 2000;4:143–49.PubMedCrossRefGoogle Scholar
  13. 13.
    Allen CJ, Anvari M. Does laparoscopic fundoplication provide long-term control of gastroesophageal reflux related cough? Surg Endosc. 2004;18:633–37.PubMedCrossRefGoogle Scholar
  14. 14.
    Johnson WE, Hagen JA, DeMeester TR, et al. Outcome of respiratory symptoms after antireflux surgery on patients with gastroesophageal reflux disease. Arch Surg. 1996;131:489–92.PubMedCrossRefGoogle Scholar
  15. 15.
    Sontag SJ, O’Connel S, Khadelwal S, et al. Asthmatics with gastroesophageal reflux: long term results of a randomized trial of medical and surgical antireflux therapies. Am J Gastroenterol. 2003;98:987–99.PubMedGoogle Scholar
  16. 16.
    Blondeau K, Mertens V, Vanadenaerde BA, et al. Gastro-oesophageal reflux and gastric aspiration in lung transplant patients with or without chronic rejection. Eur Respir J. 2008;31:707–13.PubMedCrossRefGoogle Scholar
  17. 17.
    Cobey F, Oelschlager B. Complete regression of Barrett’s esophagus after Roux-en-Y gastric bypass. Obes Surg. 2005;15:710.PubMedCrossRefGoogle Scholar
  18. 18.
    Houghton SG, Romero Y, Sarr MG. Effect of Roux-en-Y gastric bypass in obese patients with Barrett’s esophagus: attempts to eliminate duodenogastric reflux. Surg Obes Relat Dis. 2008;4:1.PubMedCrossRefGoogle Scholar
  19. 19.
    Csendes A, Burgos AM, Smok G, et al. Effect of gastric bypass on Barrett’s esophagus and intestinal metaplasia of the cardia in patients with morbid obesity. J Gastrointest Surg. 2006;10:259.PubMedCrossRefGoogle Scholar
  20. 20.
    Varela JE, Hinojosa MW, Nguyen NT. Laparoscopic fundoplication compared with laparoscopic gastric bypass in morbidly obese patients with gastroesophageal reflux disease. Surg Obes Relat Dis. 2009;5:139–43.PubMedCrossRefGoogle Scholar
  21. 21.
    Patterson EJ, Davis DG, Khajanchee Y, et al. Comparison of objective outcomes following laparoscopic Nissen fundoplication versus laparoscopic gastric bypass in the morbidly obese with heartburn. Surg Endosc. 2003;17:1561–5.PubMedCrossRefGoogle Scholar
  22. 22.
    Nissen R, Rossetti M. Surgery of hiatus hernia. Med World. 1959;91:20–6.PubMedGoogle Scholar
  23. 23.
    Dallemagne B, Weerts JM, Jehaes C, et al. Laparoscopic Nissen fundoplication: technique and preliminary report. Surg Laparosc Endosc. 1991;1:138–43.PubMedGoogle Scholar
  24. 24.
    Anvari M, Allen C, Marshall J, et al. A randomized controlled trial of laparoscopic Nissen fundoplication versus proton pump inhibitors for the treatment of patients with chronic gastroesophageal reflux disease (GERD): 3-year outcomes. Surg Endosc. 2011;25:2547.PubMedCrossRefGoogle Scholar
  25. 25.
    Mahon D, Rhodes M, Decadt B, et al. Randomized clinical trial of laparoscopic Nissen fundoplication compared with proton-pump inhibitors for treatment of chronic gastro-oesophageal reflux. Br J Surg. 2005;92:695.PubMedCrossRefGoogle Scholar
  26. 26.
    Carlson MA, Frantzides CT. Complications and results of primarily minimally invasive antireflux procedures: a review of 10,735 reported cases. J Am Coll Surg. 2001;193:428–39.PubMedCrossRefGoogle Scholar
  27. 27.
    Peters MJ, Mukhtar A, Yunus RM. Meta-analysis of randomized clinic trails comparing open and laparoscopic anti-reflux surgery. Am J Gastroenterol. 2009;104:1548–61.PubMedCrossRefGoogle Scholar
  28. 28.
    Raghu G, Collard HR, Egan JJ, et al. An official ATS/ERS/ JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med. 2011;183:788–824.PubMedCrossRefGoogle Scholar
  29. 29.
    Raghu G, Weycker D, Edelsberg J, et al. Incidence and prevalence of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2006;174:810–16.PubMedCrossRefGoogle Scholar
  30. 30.
    Mays EE, Dubois JJ, Hamilton GB. Pulmonary fibrosis associated with tracheobronchial aspiration: a study of the frequency of hiatal hernia and gastroesophageal reflux in interstitial pulmonary fibrosis of obscure etiology. Chest. 1976;69:512–15.PubMedCrossRefGoogle Scholar
  31. 31.
    Raghu G, Yang ST, Spada C, et al. Sole treatment of acid gastroesophageal reflux in idiopathic pulmonary fibrosis: a case series. Chest. 2006;129:794–800.PubMedCrossRefGoogle Scholar
  32. 32.
    Lee JS, Ryu JH, Elicker BM, et al. Gastroesophageal reflux therapy is associated with longer survival in patients with idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2011;184:1390–94.PubMedCrossRefGoogle Scholar
  33. 33.
    Tack J, Koek G, Demedts I, et al. Gastroesophageal reflux disease poorly responsive to single-dose proton pump inhibitors in patients without Barrett’s esophagus: acid reflux, bile reflux, or both? Am J Gastroenterol. 2004;99(6):981–8.PubMedCrossRefGoogle Scholar
  34. 34.
    Fisichelle PM, Davis CS, Gagermeier J, et al. Laparoscopic antireflux surgery for gastroesophageal reflux disease after lung transplantation. J Surg Res. 2011;170:279–86.CrossRefGoogle Scholar
  35. 35.
    D’Ovidio F, Mura M, Tsang M, et al. Bile acid aspiration and the development of bronchiolitis obliterans after lung transplantation. J Thorac Cardiovasc Surg. 2005;129:1144–52.PubMedCrossRefGoogle Scholar
  36. 36.
    Vos R, Blondeau K, Vanaudenaerde BM, et al. Airway colonization and gastric aspiration after lung transplantation: do birds of a feather flock together? J Heart Lung Transplant. 2008;27(8):843–9.PubMedCrossRefGoogle Scholar
  37. 37.
    Linden PA, Gilbert RJ, Yeap BY, et al. Laparoscopic fundoplication in patients with end-stage lung disease awaiting transplantation. J Thorac Cardivasc Surg. 2006;131:438–46.CrossRefGoogle Scholar
  38. 38.
    Gasper WJ, Sweet MP, Hoopes C, et al. Antireflux surgery for patients with end-stage lung disease before and after lung transplantation. Surg Endosc. 2008;22:495–500.PubMedCrossRefGoogle Scholar
  39. 39.
    Hoppo T, Jarido V, Pennathur A, et al. Antireflux surgery preserves lung function in patients with gastroesophageal reflux disease and end-stage lung disease before and after lung transplantation. Arch Surg. 2011;146:1041–7.PubMedCrossRefGoogle Scholar
  40. 40.
    Davis RD, Lau CL, Eubanks S, et al. Improved lung allograft function after fundoplication in patients with gastroesophageal reflux disease undergoing lung transplantation. J Thorac Cardiovasc Surg. 2003;125:533–42.PubMedCrossRefGoogle Scholar
  41. 41.
    O’Halloran EK, Reynolds J, Lau CL, et al. Laparoscopic Nissen Fundoplication for treating reflux in lung transplant recipients. J Gastrointest Surg. 2004;8:132–7.PubMedCrossRefGoogle Scholar
  42. 42.
    Cantu E, Appel JZ, Hartwig M, et al. Early fundoplication prevents chronic allograft dysfunction in patients with gastroesophageal reflux disease. Ann Thorac Surg. 2004;78:1142–51.PubMedCrossRefGoogle Scholar
  43. 43.
    Oleynikov D, Eubanks TR, Oelschlager BK, et al. Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis. Surg Endosc. 2002;16:909–13.PubMedCrossRefGoogle Scholar
  44. 44.
    Fibbe C, Layer P, Keller J, et al. Esophageal motility in reflux disease before and after fundoplication: a prospective, randomized, clinical, and manometric study. Gastroenterology. 2001;121:5–14.PubMedCrossRefGoogle Scholar
  45. 45.
    Strate U, Emmermann A, Fibbe C, et al. Laparoscopic fundoplication: Nissen versus Toupet two-year outcome of prospective randomized study of 200 patients regarding preoperative esophageal motility. Surg Endosc. 2008;22:21–30.PubMedCrossRefGoogle Scholar
  46. 46.
    Chrysos E, Tsiaoussis J, Zoras OJ, et al. Laparoscopic surgery for gastroesophageal reflux disease patients with impaired esophageal peristalsis: total or partial fundoplication? J Am Coll Surg. 2003;197:8–15.PubMedCrossRefGoogle Scholar
  47. 47.
    Baigrie RJ, Cullis NR, Ndhluni AJ, et al. Randomized double-blind trials of laparoscopic Nissen fundoplication versus anterior partial fundoplication. Br J Surg. 2005;92:819–23.PubMedCrossRefGoogle Scholar
  48. 48.
    Watson DI, Jameison GG, Lally C, et al. Multicenter, prospective, double-blind, randomized trial of laparoscopic Nissen vs anterior 90° partial fundoplication. Arch Surg. 2004;139:1160–67.PubMedCrossRefGoogle Scholar
  49. 49.
    Varin O, Velstra B, Sutter S, et al. Total vs partial fundoplication in the treatment of gastroesophageal reflux disease: a meta-analysis. Arch Surg. 2009;144:273–78.PubMedCrossRefGoogle Scholar
  50. 50.
    Oelchlager BK, Yamamoto K, Woltman T, et al. Vagotomy during hiatal hernia repair: a benign esophageal lengthening procedure. J Gastrointest Surg. 2008;12:1155–62.CrossRefGoogle Scholar
  51. 51.
    Flum DR, Koepsell T, Heagerty P, et al. The nationwide frequency of major adverse outcomes in antireflux surgery and the role of surgeon experience. J Am Coll Surg. 2002;195:611–8.PubMedCrossRefGoogle Scholar
  52. 52.
    Oelschlager BK, Quiroga E, Parra J, et al. Long-term outcomes after laparoscopic antireflux surgery. Am J Gastroenterol. 2008;103:280–7.PubMedCrossRefGoogle Scholar
  53. 53.
    Swain P, Park PO, Mills T. Bard EndoCinch: the device, the technique, and pre-clinical studies. Gastrointest Ensoc Clin N Am. 2003;13:75–88.CrossRefGoogle Scholar
  54. 54.
    Schwartz MP, Wellink H, Gooszen HG, et al. Endoscopic gastroplication for the treatment of gastro-oesophageal reflux disease: a randomised, sham-controlled trial. Gut. 2007;56:20–8.PubMedCrossRefGoogle Scholar
  55. 55.
    Mahmood Z, Byrne PJ, McMahon BP, et al. Comparison of transesophageal endoscopic plication (TEP) with laparoscopic nissen fundoplication (LNF) in the treatment of uncomplicated reflux disease. Am J Gastroenterol. 2006;101:431–36.PubMedCrossRefGoogle Scholar
  56. 56.
    Cadiere GB, Rajan A, Rqibate M, et al. Endoluminal fundoplication (ELF)—evolution of EsophyX, a new surgical device for transoral surgery. Minim Invasive Ther Allied Technol. 2006;15:348–55.PubMedCrossRefGoogle Scholar
  57. 57.
    Cardiere GB, Buset M, Muls V, et al. Antireflux transoral incisionless fundoplication using EsophyX: 12-month results of a prospective multicenter study. World J Surg. 2008;32:1676–88.CrossRefGoogle Scholar
  58. 58.
    Utley DS, Kim M, Vierra MA, et al. Augmentation of lower esophageal sphincter pressure and gastric yield pressure after radiofrequency energy delivery to the gastroesophageal junction: a porcine model. Gastrointest Endosc. 2004;52:81–6.CrossRefGoogle Scholar
  59. 59.
    Corley DA, Katz P, Wo JM, et al. Improvement of gastroesophageal reflux symptoms after radiofrequency energy: a randomized, sham-controlled trial. Gastroenterology. 2003;125:668–76.PubMedCrossRefGoogle Scholar
  60. 60.
    Triadafilopoulos G, DiBaise JK, Nostrant TT, et al. The Stretta procedure for the treatment of GERD: 6 and 12 month follow-up of the U.S. open label trial. Gastrointest Endosc. 2002;55:149–56.PubMedCrossRefGoogle Scholar
  61. 61.
    Richards WO, Houston HL, Torquati A, et al. Paradigm shift in the management of gastroesophageal reflux disease. Ann Surg. 2003;237:638–47.PubMedGoogle Scholar
  62. 62.
    Zagol B, Mikami D. Advances in transoral fundoplication for oesophageal reflux. Dig Liver Dis. 2011;43:361–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Washington Medical CenterSeattleUSA
  2. 2.Department of SurgeryUniversity of WashingtonSeattleUSA

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