TY - JOUR
T1 - SSAT Maintenance of Certification
T2 - Literature Review on Gastroesophageal Reflux Disease and Hiatal Hernia
AU - Soper, Nathaniel J.
PY - 2011/8
Y1 - 2011/8
N2 - Background: This article reviews the current literature pertaining to the diagnosis and management of gastroesophageal reflux disease (GERD) and hiatal hernia. Discussion: GERD is one of the most common gastrointestinal disorders in the USA. For effective management, a conclusive diagnosis must be made. Most patients are effectively managed by acid suppression therapy, whereas others require procedural treatment. Endoluminal treatment of GERD is an option, but long-term results of this therapy are unknown. The "gold standard" surgical treatment of GERD is laparoscopic Nissen fundoplication. Large hiatal hernias are difficult to manage with a relatively high rate of recurrent hiatal hernia. Conclusion: Whether or not to use mesh at the hiatus to decrease this occurrence is currently debatable.
AB - Background: This article reviews the current literature pertaining to the diagnosis and management of gastroesophageal reflux disease (GERD) and hiatal hernia. Discussion: GERD is one of the most common gastrointestinal disorders in the USA. For effective management, a conclusive diagnosis must be made. Most patients are effectively managed by acid suppression therapy, whereas others require procedural treatment. Endoluminal treatment of GERD is an option, but long-term results of this therapy are unknown. The "gold standard" surgical treatment of GERD is laparoscopic Nissen fundoplication. Large hiatal hernias are difficult to manage with a relatively high rate of recurrent hiatal hernia. Conclusion: Whether or not to use mesh at the hiatus to decrease this occurrence is currently debatable.
KW - Endoluminal treatment
KW - GERD
KW - Gastroesophageal reflux disease
KW - Hiatal hernia
KW - Nissen fundoplication
UR - http://www.scopus.com/inward/record.url?scp=79960840898&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79960840898&partnerID=8YFLogxK
U2 - 10.1007/s11605-011-1556-0
DO - 10.1007/s11605-011-1556-0
M3 - Review article
C2 - 21594701
AN - SCOPUS:79960840898
SN - 1091-255X
VL - 15
SP - 1472
EP - 1476
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 8
ER -