外科理论与实践

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2023 , Vol. 28 >Issue 03: 208 - 214

DOI: https://doi.org/10.16139/j.1007-9610.2023.03.006

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胃食管反流病的微创手术治疗现状

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  • 1.新疆维吾尔自治区人民医院微创、疝和腹壁外科，普外微创研究所，新疆 乌鲁木齐 830001
    2.新疆医科大学研究生院，新疆 乌鲁木齐 830054
    3.新疆胃食管反流病与减重代谢外科临床医学研究中心，新疆 乌鲁木齐 830001

收稿日期: 2023-04-17

  网络出版日期: 2023-08-18

基金资助

自治区重点研发任务专项(2022395588)

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Current status of minimally invasive surgery of gastroesophageal reflux disease

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  • 1. Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, Research Institute of General and Minimally Invasive Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Urumqi 830001, China
    2. Xin-jiang Medical University Graduate School of Medicine, Xinjiang Urumqi 830054, China
    3. Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric Metabolic Surgery, Xinjiang Urumqi 830001, China

Received date: 2023-04-17

  Online published: 2023-08-18

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摘要

胃食管反流病（gastroesophageal reflux disease, GERD）是一种常见的消化道疾病。GERD的治疗包括改变生活方式、药物治疗和手术治疗。随着外科技术的发展，微创手术因对病人创伤小、术后恢复快等优势在临床上被广泛应用。腹腔镜胃底折叠术是GERD的标准外科治疗方法，因其术后会发生一些并发症，近年出现了多种新的替代微创手术方式，有望为GERD病人提供新的治疗选择。外科微创手术方式包括磁性括约肌增强术、减重手术以及食管下括约肌电刺激疗法。内镜微创手术方式包括经口无创胃底折叠术、Stretta射频消融术以及抗反流黏膜切除术。本文主要阐述GERD的微创手术治疗现状。

关键词： 胃食管反流病; 胃底折叠术; 微创手术

本文引用格式

艾克拜尔·艾力, 玉素江·图荪托合提, 克力木·阿不都热依木 . 胃食管反流病的微创手术治疗现状[J]. 外科理论与实践, 2023 , 28(03) : 208 -214 . DOI: 10.16139/j.1007-9610.2023.03.006

Abstract

Gastroesophageal reflux disease (GERD) is one of the common gastrointestinal diseases. The treatment options for GERD includes lifestyle changes, medication, and surgery. With the development of surgical technology, minimally invasive surgery has become more and more widely used in clinical practice due to its advantages such as less trauma and rapid postoperative recovery. Laparoscopic fundoplication is the standard surgical treatment for GERD. Due to the postoperative complications of laparoscopic fundoplication, a variety of new alternative minimally invasive surgery methods, which are expected to provide new treatment options for GERD patients, have emerged recently. Surgical minimally invasive procedures include magnetic sphincter augmentation (MSA), bariatric surgery, and lower esophageal sphincter electric stimulating therapy (LES-EST). Endoscopic minimally invasive procedures include transoral incisionless fundoplication (TIF), Stretta radiofrequency ablation, and anti-reflux mucosectomy (ARMS). This article mainly describes the current status of minimally invasive surgical treatment of GERD.

Key words： Gastroesophageal reflux disease; Fundoplication; Minimally invasive surgery

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