TRATAMENTO CIRÚRGICO DA DOENÇA DO REFLUXO GASTROESOFÁGICO (DRGE): ANÁLISE CRÍTICA GASTROESOPHAGEAL REFLUX DISEASE (GERD) SURGICAL TREATMENT: CRITICAL ANALYSIS

- Melhora progressiva da qualidade da terapeutica The importance of gastroesophageal reflux disease can be conservadora, emphasized, due to its high prevalence in the occidental - Melhora dos sintomas com ajuste das drogas, population, representing 75% of the esophageal diseases. - Risco anestesico-cirurgico do procedimento operatorio, The natural history of this disease determines functional - Riscos de aparecimento de novos sintomas apos a cirurgia, and structural alterations to the esophagus that can be - Risco de recorrencia de refluxo apos operacao, irreversible, implicating on a health related quality of life - Despesas com o procedimento operatorio. worsening and even on esophageal adenocarcinoma. The Logo, a selecao dos doentes deve ser criteriosa e surgical procedure is only one of the ways that can be used embasada no conhecimento das caracteristicas anatomicas e and its indication must obey well defined criteria as well as fisiologicas, as quais sao proprias de cada paciente examinado. be adapted to the evolutional phase of the disease. The As indicacoes classicas de tratamento cirurgico sao a