LAPAROSCOPIC FUNDOPLICATION IN THE TREATMENT OF BARRETT’S ESOPHAGUS

The  results  of  treatment  of  Barrett's  oesophagus diagnosed in 22 (9.2%) of 238 patients  with gastroesophageal reflux disease  and  hiatal  hernia are  presented. A high  degree  dysplasia  was found  in 54.5%  (12/22) of patients. All patients were administered combination therapy with p...

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Published inAlʹmanakh klinicheskoĭ medit͡s︡iny no. 40; pp. 117 - 120
Main Authors Allakhverdyan, A. S., Mazurin, V. S., Anipchenko, N. N., Shabarov, V. L.
Format Journal Article
LanguageEnglish
Russian
Published MONIKI 13.02.2016
Subjects
barrett's oesophagus
laparoscopic fundoplication
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Summary:The  results  of  treatment  of  Barrett's  oesophagus diagnosed in 22 (9.2%) of 238 patients  with gastroesophageal reflux disease  and  hiatal  hernia are  presented. A high  degree  dysplasia  was found  in 54.5%  (12/22) of patients. All patients were administered combination therapy with proton   pump  inhibitors, prokinetics, third  generation  H2 histamine  receptor  blockers  for 3 to 4 weeks. If no regress of dysplasia was obtained,   Barrett's epithelium  was removed  by a holmium laser  (14 patients). The advantages of a laparoscopic fundoplication  technique proposed by the authors  in the treatment of Barrett's oesophagus were shown. This surgical intervention reliably prevents  the gastroesophageal reflux that has led to the development of this disease.
ISSN:2072-0505
2587-9294
DOI:10.18786/2072-0505-2015-40-117-120