DR. ADEM DERVİŞOĞLU, MD, PROFESSOR
Gastroesophageal Reflux Disease (GERD)
Coming up of the stomach contents into the esophagus is described as gastroesophageal reflux. Although gastroesophageal reflux disease is very common and seen in almost 20% of the population, most patients do not consult a physician because they are able to obtain temporary relief by adopting simple dietary changes or taking antiacid medications. Therefore, its place in society is considered similar to an iceberg. It is thought that individuals seeing a physician for this disorder account for only 10-15% of all patients.
Gastroesophageal reflux is a chronic disease. The goals of treatment can be summarized as achieving symptom relief and recurrence prevention (that is administering maintenance therapy), facilitation of patients’ adherence to treatment, prevention of serious complications, improving the quality of life, and achieving patient satisfaction.
Despite medical treatment, approximately 10-15% of GER patients need surgery. The following factors should be considered before surgery:
• Age (the younger the patient is, the more necessary is the surgery),
• The severity, frequency, and type of symptoms,
• The severity of esophagitis and possible complications (bleeding and stenosis),
• Time to recurrence after completing the medical treatment
• The presence and extent of hiatus hernia accompanying the reflux,
• Operability of the patient,
• Barrett’s esophagus; in which surgery is not indicated unless dysplasia occurs and surgical treatment does not reduce the risk of developing cancer.
The surgical method is fundoplication (Nissen fundoplication), which can be performed in a variety of ways. Laparoscopic surgery has been preferred to classical open surgeries in recent years because of the short duration of the intervention, short hospital stays, and posing minimal harm to the patient. The outcomes of laparoscopic surgery are successful in experienced hands (Laparoscopic Nissen Fundoplication).
Dr. Adem Dervişoğlu, MD, Professor
Coming up of the stomach contents into the esophagus is described as gastroesophageal reflux. Gastroesophageal reflux is a physiological event that may occur up to 10-50 times a day, especially after meals and during certain periods of sleep.