Antireflux Surgery and Barrett's Esophagus: Myth or Reality?

Antireflux Surgery and Barrett's Esophagus: Myth or Reality?

Author Herbella, Fernando Augusto Mardiros Autor UNIFESP Google Scholar
Schlottmann, Francisco Google Scholar
Patti, Marco G. Google Scholar
Abstract It may seem questionable if antireflux surgery still has a role in the management of patients with Barrett's esophagus (BE) in the current era when antireflux surgery is facing a steady decline, obesity is increasing, pharmacologic treatment for gastroesophageal reflux disease (GERD) is in its splendor, and endoscopic techniques are used more frequently. It is questionable if patients with BE should be operated to stop GERD and to prevent cancer. The aim of this study was to determine the role of antireflux surgery in patients with BE. Literature review. The role of antireflux operations is, in fact, very controversial and neglected. BE is a different phenotype of GERD with a distinct pathophysiology linked to severe reflux of bile and acid, due to a marked anatomic disruption of the gastroesophageal barrier. Published series show that a fundoplication adequately controls GERD and symptoms in BE patients. A fundoplication (or even better a bile diversion antireflux procedure) may prevent esophageal adenocarcinoma. In conclusion, a fundoplication efficiently controls GERD and symptoms in BE patients. A fundoplication (or even better a bile diversion procedure) may also prevent esophageal adenocarcinoma.
Language English
Date 2018
Published in World Journal Of Surgery. New York, v. 42, n. 6, p. 1798-1802, 2018.
ISSN 0364-2313 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1798-1802
Origin http://dx.doi.org/10.1007/s00268-017-4394-8
Access rights Closed access
Type Article
Conference paper
Web of Science ID WOS:000431425300030
URI http://repositorio.unifesp.br/handle/11600/46015

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