抗反流手术的评估与术前准备

Evaluation and preoperative preparation of anti-reflux surgery

胃食管反流病(GERD)是一种常见的消化系统性疾病,主要临床表现为胃肠内容物的反流、烧心,伴有食管炎、咽喉疼等上消化道并发症,对人们身心健康带来严重威胁。除了质子泵抑制剂类药物治疗的方式外,抗反流手术成为治疗GERD的重要手段之一,成功率较高、缓解症状效果显著。为了提高手术成功率和疗效、减少抗反流术后并发症,做好抗反流手术的术前诊断、评估及准备工作至关重要。本综述根据国内外最相关研究新进展,对抗反流手术术前诊断、评估、手术种类选择等准备工作中需要密切关注的问题及解决措施进行探讨。

Gastroesophageal reflux disease(GERD)is a common digestive systemic disease.The main clinical manifestations are reflux and heartburn of gastrointestinal contents,accompanied by esophagitis,sore throat and other upper gastrointestinal complications,which pose a serious threat to people's physical and mental health.Besides proton pump inhibitors,anti-reflux surgery has become one of the important methods to treat GERD.In order to improve the success rate and curative effect and reduce the complications after anti-reflux surgery,it is very important to make the preoperative diagnosis,evaluation and preparation of anti-reflux surgery.Based on the most relevant research progress at home and abroad,this review discusses issues and solutions that require close attention in the preoperative diagnosis,evaluation,and selection of surgical types of anti-reflux surgery.