What value should be attributed to the persistence of radiological signs of reflux or persistent acid pH without clinical signs following anti-reflux surgery?
The variety of diagnostic procedures detecting gastroesophageal reflux (GER) has given us a deeper insight into the gastroesophageal junction. The more we know about the pathogenesis of GER the less operative procedures are in use. Conservative treatment based on endoscopic-, manometric- and pH-monitoring findings has established as the preferred therapeutic approach in nearly 90% of the cases. Nowadays less than 10% of GER patients underwent surgical anti-reflux treatment, according to the literature.
KeywordsAdenocarcinoma Esophagitis Metoclopramide Goldwater
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