WHAT THE ANTI-REFLUX SURGERY IDEAL? (IF 6.860)

Indroduction: The continuous innovations in the medical field and the advent of minimally invasivesurgery they have changed substantially in the marl-bed surgical treatment of upper gastrointestinaldiseases. A better understanding of the pathophysiology of GERD and the advent of minimallyinvasive surgery have laid the foundations to find the ideal antireflux. Purpose of this study isthrough the evaluation of our results identify the parameters that constitute the foundations of thisplastic ideal antireflux. Materials and methods As of January 2005 to December 2013 at the IIClinical Surgery and digestive surgery department of general surgery and specialized companypolyclinic II University of Catania underwent a functional study to the intervention of plastic antirefluxfor GERD n 66 patients (27 males, n 39 women aged between 42-57 years, mean age 49.5)the total or partial plastic choice was due to the clinical picture of the results the total or partialplastic Choice was due to the clinical picture .In the presence of severe dyskinesia proportional tothe degree of esophagitis it is a total plastic been implemented necessary. The dyskinesia with distalesophageal amplitude of less than 40mmHg is a partial antireflux plastic was implemented.Discussion In the presence of GERD not obstructive The distinction of patients with and withoutdisfagia is not possible because there is no difference of esophageal motor framework, and adifferentiation occurs during meals for the presence of continuous waves not propelling the distalesophagus Singh medical antisecretory therapy is not able to block the progression from metaplasiato dysplasia in patients with Barett. The asserts an increased risk of 8 times in patients in which theregurgitation, and heartburn occurring once a week is. Therefore logical to assume in light of theresults obtained as a blocking GERD through effective antireflux it prevents more serious illness.Conclusions In GERD fundoplication arises as a necessary and effective for the purpose of blockingthe natural history of the disease through an antireflux