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179208

Surgical treatment for gastroesophageal reflux in asthmatic patient

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Last updated: 05 Jan 2025

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Abstract

Background and aim: Gastroesophageal  reflux disease (GERD) is one of the most common gastrointestinal diseases facing society today. Assosciation of bronchial asthma with GERD is a common problem, we tried to evaluate the surgical treatment (reflux surgery) and its results to choose the patients who will get benefit from reflux surgery. Patients and methods: We report the  results of surgical repair of gastroesophageal reflux in 32 asthmatic patients who underwent surgery. The severe asthma was associated with clinically evident reflux, and repair was attempted by surgical techniqueNissentransabdominalgastropexy and laparoscopic fundoplication. Results: Total cure, eight cases (25%); marked improvement, five (15.6%); moderate improvement, eight (25%); no improvement,  11 (34.4%).Cure  was attained in intrinsic asthma with  a  predominance  of  nocturnal  crises,  associated   with  nocturnal  tracheitis  and  with significant reflux, objective signs of which had appeared  before the beginning ofthe asthma. Other results concerned asthmas complicated secondarily by GER in which it was impossible to determine whether the reflux was only a complication, without effect on the respiratory illness, or exacerbating the asthma. Conclusions: The question of surgery in these patients should be considered with care, being reserved for cases of severe asthma, poorly controlled by antiasthmatic drugs, and complicated by a severe reflux that encompasses  ulcerative esophagitis.  The majority  of patients in most studies seem to improve symptomatically after surgery. However, a small percentage remains unchanged  or worsens. The reported studies are so disparate in their methodology  that firm conclusions on the role of surgery are difficult. Further studies are needed

DOI

10.21608/asjs.2012.179208

Keywords

Gastric, Esophageal, Reflux, Surgery, bronchial asthma

Authors

First Name

Omar

Last Name

Eissa

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Affiliation

Departement of General Surgery, Menia University, Menia, Egypt.

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First Name

Mohamed

Last Name

AbdelMonem

MiddleName

-

Affiliation

Departement of General Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Nader

Last Name

Kotb

MiddleName

-

Affiliation

Departement of General Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Rafat AI

Last Name

Sokarry

MiddleName

-

Affiliation

Departement of Chest, Asuit University, Asuit, Egypt.

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City

-

Orcid

-

First Name

Ahmed

Last Name

Gamal EL-Din

MiddleName

-

Affiliation

Departement of General Surgery, Ain Shams University, Cairo, Egypt.

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Volume

6

Article Issue

1

Related Issue

25656

Issue Date

2013-01-01

Receive Date

2021-06-22

Publish Date

2012-10-01

Page Start

19

Page End

26

Print ISSN

2090-7249

Online ISSN

3009-7509

Article File

ASJS_Volume 6_Issue 1_Pages 19-26.pdf

PDF . 229.1kB

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https://asjs.journals.ekb.eg/article_179208.html

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https://asjs.journals.ekb.eg/service?article_code=179208

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3

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Surgical treatment for gastroesophageal reflux in asthmatic patient

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Article

Created At

23 Jan 2023