Gastroesophageal fundoplication improves symptoms in refractory asthma

Gastroesophageal (GE) reflux has been etiologically linked to a number of pulmonary diseases. Subclinical pulmonary aspiration from nocturnal GE reflux has been proposed as a cause of asthma. A patient with severe asthma, refractory to conventional medical therapy, is presented. The asthma was presu...

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Bibliographic Details
Published inThe American surgeon Vol. 49; no. 7; p. 403
Main Authors Zaloga, G P, Chernow, B, Chin, R, Deal, J, Robinson, A, Barber, B, Kaminsky, H H
Format Journal Article
LanguageEnglish
Published United States 01.07.1983
Subjects
Adult
Asthma - etiology
Asthma - therapy
Bronchial Spasm - complications
Esophagitis, Peptic - complications
Esophagitis, Peptic - surgery
Esophagus - surgery
Female
Gastric Fundus - surgery
Humans
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Summary:Gastroesophageal (GE) reflux has been etiologically linked to a number of pulmonary diseases. Subclinical pulmonary aspiration from nocturnal GE reflux has been proposed as a cause of asthma. A patient with severe asthma, refractory to conventional medical therapy, is presented. The asthma was presumed to be secondary to gastroesophageal reflux and indeed the patient became asymptomatic following a Nissen fundoplication procedure. This case report documents that surgical correction of GE reflux may be an appropriate therapeutic maneuver in asthmatics who subclinically aspirate as a consequence of GE reflux.
ISSN:0003-1348