Reflux surgery and
Despite the
advent of inhibitors of proton pump antireflux surgery is sometimes necessary
in approximately 10% of patients.
Non-response to
inhibitors of proton pump is rare, but more common when there is significant
esophagitis, failure of the lower esophagus sphincter, a large hiatal hernia,
reflux alkaline predominance.
These are young
patients, can not be kept in remission thanks to the continued use of these
medications, which can benefit from antireflux surgery.
This surgery
permanently solve the problem of acid secretion.
Currently,
reflux surgery can be done by laparoscopy.
Several surgical
techniques can be used, especially the Nissen fundoplication, which gives more
than 90% good results.
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