Laparoscopic antireflux surgery in patients with extra esophageal symptoms related to asthma

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Amanda Pinter Carvalheiro Da Silva¹  Valdir Tercioti-junior¹  Luiz Roberto Lopes¹  João De Souza Coelho-neto¹  Laura Bertanha¹  Paulo Rodrigo De Faria Rodrigues¹  Nelson Adami Andreollo¹ 

关键词: Refluxo gastroesofágico;    Asma;    Videolaparoscopia;    Fundoplicatura;    Refluxo gastroesofágico;    Asma;    Videolaparoscopia;    Fundoplicatura;   

DOI  :  10.1590/S0102-67202014000200002

来源: SciELO

【 摘 要 】

BACKGROUND: Asthma, laryngitis and chronic cough are atypical symptoms of the gastroesophageal reflux disease. AIM: To analyze the efficacy of laparoscopic surgery in the remission of extra-esophageal symptoms in patients with gastroesophageal reflux, related to asthma. METHODS: Were reviewed the medical records of 400 patients with gastroesophageal reflux disease submitted to laparoscopic Nissen fundoplication from 1994 to 2006, and identified 30 patients with extra-esophageal symptoms related to asthma. The variables considered were: gender, age, gastroesophageal symptoms (heartburn, acid reflux and dysphagia), time of reflux disease, treatment with proton pump inhibitor, use of specific medications, treatment and evolution, number of attacks and degree of esophagitis. Data were subjected to statistical analysis, comparing the pre- and post-surgical findings. RESULTS: The comparative analysis before surgery (T1) and six months after surgery (T2) showed a significant reduction on heartburn and reflux symptoms. Apart from that, there was a significant difference between the patients with daily crises of asthma (T1 versus T2, 45.83% to 16.67%, p=0.0002) and continuous crises (T1, 41.67% versus T2, 8.33%, p=0.0002). CONCLUSION: Laparoscopic Nissen fundoplication was effective in improving symptoms that are typical of reflux disease and clinical manifestations of asthma.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License