Gerd and Its’ Therapeutic Management by Surgical Methods
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Author:
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NAVEEN KUMAR, AVIJIT MAZUMDER, SAUMYA DAS
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Abstract:
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Gastro esophageal reflux disease (GERD) is prevalent worldwide and also known as anti-reflux disease. It is
treated by modifying lifestyle along with medication and surgery in severe stage. Lifestyle modifications
minimize GERD symptoms to some extent. Medication is not effective in all patients and requires long time
intervention associated with serious complication. Pre- Surgical screening by various methods like
Esophagogastroduodenoscopy, pH test, Barium swallow which helps in selecting appropriate technique for
surgery. Linux reflux management system is useful to manage GERD by applying magnetic field. Immunohistochemical biomarkers like Interleukin33, G-protein coupled receptor 84 are monitored in GERD patient as
new approach to treat GERD. The ultimate method to treat chronic GERD is Surgery which is known as antireflux surgery, it includes a procedure termed as fundoplication. The most common method of fundoplication
is Nissen fundoplication. Laparoscopy is another popular surgical method used to treat GERD. The difference
between the fundoplication and Laparoscopy is that fundoplication is non-invasive whereas Laparoscopy is
invasive method. These two techniques are effective to great extent with minimum complication and provide
complete relief to the patient. Some other techniques for GERD treatment are laparotomy, laparoscopic
nissen fundoplication, belsey Mark IV repair which provide better relief than long term medical therapy.
Surgery is safe and effective with minor post-surgical complication and therefore has become popular method
for treating GERD
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Keyword:
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Endoscopic, Esophagogastroduodenoscopy, Fundoplication Laparascopically surgery, Laparotomy, ligature, Supraumbilical.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.348
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