Boala de reflux gastroesofagian cu evoluţie complicată

Abstract

Introducere. BRGE a devenit una din cele mai frecvente patologii ale tubului digestiv ale secolului XXI, care aproximativ în 80-90% dintre cazuri evoluează pe fundalul unei hernii hiatale şi constituie o problemă dintre cele mai actuale, înregistrând o frecvenţă de 5-10% la populaţia examinată. Material şi metode: Într-un termen de 15 ani în clinica chirurgie FEC MF au fost trataţi 357 pacienţi cu BRGE. La 123 (34,45%) pacienţi au fost depistate diferite complicaţii ale BRGE. Între cele mai frecvente au fost complicaţiile tractului digestiv: • Ulcere ale esofagului şi joncţiunii eso-gastrice • Stenoze • Esofag Barrett • Cancer esofagian şi joncţiunii esogastrice. Complicaţiile bronhopulmonare între complicaţiile extradigestive au fost cele mai frecvente fiind determinate de bronşită cronică obstructivă şi astmul bronşic. În această perioadă în clinică au fost implementate în practică schemele conceptuale de tratament ale BRGE ce vizează diferite faze de evoluţie ale BRGE. Concluzii. Depistarea precoce a BRGE precum şi antrenare pe scara largă a tratamentului multimodal al BRGE poate micşora considerabil rata complicaţiilor BRGE în general precum şi ameliorează considerabil rezultatele tratamentului medicochirurgical imediate şi la distanţă. Introduction. GERD has become one of the most common diseases of the digestive tract of the XXI century, which about 80-90% of cases develops on the basis of a hiatal hernia and is one of the most recent issue, recording a rate of 5-10% of the population examined. Material and methods: In the period of 15 years in the department of surgery CEM were treated 357 patients with GERD. Were detected various complications of GERD in 123 (34.45%) patients and among the most frequent were complications of digestive tract: • Ulcers of the esophagus and esophageal-gastric junction • Stenosis • Barrett’s Esophagus • Cancer of esophagus and esophageal-gastric junction. Broncho-pulmonary complications between extradigestive complications were the most frequent being caused by chronic obstructive bronchitis and bronchial asthma. During this period in clinical practice have been implemented in the treatment of GERD conceptual schemes aimed at different stages of evolution of GERD. Conclusions. Early detection of GERD as well as training on a large scale multimodal treatment of GERD can significantly decrease the overall rate of GERD complications and significantly improves the immediate and remote results, of conservative and surgical treatment.

Introduction. GERD has become one of the most common diseases of the digestive tract of the XXI century, which about 80-90% of cases develop on the basis of a hiatal hernia and is one of the most recent issues, recording a rate of 5-10% of the population examined. Material and methods: In the period of 15 years in the department of surgery CEM were treated 357 patients with GERD. Were detected various complications of GERD in 123 (34.45%) patients and among the most frequent were complications of the digestive tract: • Ulcers of the esophagus and esophageal-gastric junction • Stenosis • Barrett’s Esophagus • Cancer of the esophagus and esophageal-gastric junction. Broncho-pulmonary complications between extra digestive complications were the most frequent being caused by chronic obstructive bronchitis and bronchial asthma. During this period in clinical practice have been implemented in the treatment of GERD conceptual schemes aimed at different stages of evolution of GERD. Conclusions. Early detection of GERD as well as training on a large-scale multimodal treatment of GERD can significantly decrease the overall rate of GERD complications and significantly improves the immediate and remote results, of conservative and surgical treatment.