ENGLISH

Failed Anti-Reflux Therapy: Analysis of Causes and Principles of Treatment

By P. Marco Fisichella (eds.)

Book information

Publisher
Springer International Publishing
Year
2017
ISBN
978-3-319-46884-6, 978-3-319-46885-3
DOI
10.1007/978-3-319-46885-3
Language
english
Format
PDF
Filesize
5 MB (5299193 bytes)
Edition
2
Pages
X, 143\141
Time added
2017-04-19 23:42:35
Gastroenterology;General Surgery;Thoracic Surgery

Description

This multiauthored text provides information on the pathophysiology of GERD, appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures for GERD. Thousands of patients will experience inadequate relief from medical therapy or will develop complications from their procedures or recurrent or new symptoms afterwards; this text describes in detail the proper evaluation and management of such patients. Beginning with an overview of the current understanding of the pathophysiology of GERD, the book moves onto new information regarding tissue susceptibility, the role of bile and digestive enzymes, and cyclic changes in LES tone. The next chapters are devoted to standard therapeutic options for GERD, including lifestyle changes, pharmacologic therapy, and surgery. In addition, newer endoscopic treatments, such as Stretta, Endocinch, injection of bulking agents, as well as others, are described. Subsequent chapters focus on the causes for failure of medical, endoscopic, and surgical therapies. The remainder of the text is a detailed examination of medical, endoscopic, and surgical remedies for these treatment failures. This text is essential to any physician who manages patients with GERD, including internists, gastroenterologists, general surgeons, and thoracic surgeons.

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