PMID: 11901926Mar 21, 2002Paper

Results of laparoscopic antireflux operations in patients who have Barrett's esophagus

Chest Surgery Clinics of North America
G G JamiesonD I Watson

Abstract

In most patients who have Barrett's esophagus and who are undergoing open or laparoscopic antireflux surgery, there is a significant improvement in symptom control that is equivalent to that in patients who have uncomplicated gastroesophageal reflux disease. The requirement for reoperation in patients with Barrett's esophagus may be slightly higher, although in the two laparoscopic series published to date, the rate is still only approximately 6%. How much this will increase with longer follow-up, time alone will tell, but given the good results in approximately 95% of patients operated to date, the authors do not believe that the diagnosis of Barrett's esophagus should be considered a blanket contraindication for laparoscopic antireflux surgery. Clearly, in most patients with Barrett's esophagus, an antireflux operation will not result in regression of Barrett's mucosa. It is still unclear whether antireflux surgery provides any protection against subsequent development of esophageal adenocarcinoma. What is clear, however, is that after antireflux surgery, patients who have Barrett's esophagus are still at risk for developing adenocarcinoma and should remain in surveillance programs. The authors believe that laparoscopic antir...Continue Reading

References

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Citations

Sep 9, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alan G CassonHyun Ja Lim
Feb 20, 2004·Current Surgery·Brian E LahmannAdrian Park
Sep 4, 2003·Proceedings. Biological Sciences·Paul D N HebertJeremy R deWaard
Nov 2, 2012·International Surgery·Italo BraghettoAníbal Debandi
Jan 6, 2005·Journal of the American College of Surgeons·Andrew J E SeelyRichard J Finley
Nov 6, 2004·The Medical Clinics of North America·Jose E TorresCarol E H Scott-Conner
Dec 22, 2017·World Journal of Surgery·Fernando A M HerbellaMarco G Patti
Aug 16, 2017·World Journal of Gastroenterology : WJG·Chidi Amadi, Piers Gatenby
Mar 11, 2006·Annales de chirurgie·J-Y Mabrut, J Baulieux

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