Is magnetic sphincter augmentation indicated in patients with laryngopharyngeal reflux?

Sebastian F Schoppmann
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引用次数: 1

Abstract

Up to 30% of patients with gastroesophageal reflux disease (GERD) suffer from laryngopharyngeal reflux (LPR) with symptoms, as chronic cough, laryngitis, or asthma. Besides life-style modifications and medical acid suppression, laparoscopic fundoplication is an established treatment option. Treatment-related side effects after laparoscopic fundoplication have to be weighted against LPR symptom control in 30-85% of patients after surgery. Magnetic sphincter augmentation (MSA) is described as an effective alternative to fundoplication for surgical treatment of GERD. However, evidence on the efficacy of MSA in patients with LPR is very limited. Preliminary data on the results of MSA treating LPR symptoms in patients with acid and weakly acid reflux are promising; showing comparable results to laparoscopic fundoplication by providing the potential of decrease side effects.

磁性括约肌增强术是否适用于咽喉反流患者?
高达30%的胃食管反流病(GERD)患者患有喉部反流(LPR),其症状为慢性咳嗽、喉炎或哮喘。除了生活方式的改变和药物抑酸,腹腔镜下翻底术是一种成熟的治疗选择。在30-85%的术后患者中,腹腔镜手术后与治疗相关的副作用必须与LPR症状控制相权衡。磁括约肌增强术(MSA)被认为是手术治疗胃食管反流的有效替代方法。然而,关于MSA在LPR患者中的疗效的证据非常有限。MSA治疗胃酸和弱酸反流患者LPR症状的初步结果是有希望的;通过提供减少副作用的潜力,显示出与腹腔镜下盆底切除术相当的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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