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Results of laparoscopic antireflux operations in patients who have Barrett's esophagus

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dc.contributor.authorJamieson, G.
dc.contributor.authorFrance, M.
dc.contributor.authorWatson, D.
dc.date.issued2002
dc.description© W.B. Saunders Co.
dc.description.abstractIn most patients who have Barrett's esophagus and who are undergoing open or laparoscopic antireflux surgery, there is a significant improvement in symptom control that is equivalent to that in patients who have uncomplicated gastroesophageal reflux disease. The requirement for reoperation in patients with Barrett's esophagus may be slightly higher, although in the two laparoscopic series published to date, the rate is still only approximately 6%. How much this will increase with longer follow-up, time alone will tell, but given the good results in approximately 95% of patients operated to date, the authors do not believe that the diagnosis of Barrett's esophagus should be considered a blanket contraindication for laparoscopic antireflux surgery. Clearly, in most patients with Barrett's esophagus, an antireflux operation will not result in regression of Barrett's mucosa. It is still unclear whether antireflux surgery provides any protection against subsequent development of esophageal adenocarcinoma. What is clear, however, is that after antireflux surgery, patients who have Barrett's esophagus are still at risk for developing adenocarcinoma and should remain in surveillance programs. The authors believe that laparoscopic antireflux surgery is a safe and effective approach for the cure of reflux-related symptoms in patients who have Barrett's esophagus.
dc.description.statementofresponsibilityG.G. Jamieson, M. France and D.I. Watson
dc.description.urihttp://www.ncbi.nlm.nih.gov/pubmed/11901926
dc.identifier.citationChest surgery clinics of North America, 2002; 12(1):149-155
dc.identifier.doi10.1016/S1052-3359(03)00071-1
dc.identifier.issn1052-3359
dc.identifier.urihttp://hdl.handle.net/2440/10575
dc.language.isoen
dc.publisherW.B. Saunders Co.
dc.source.urihttps://doi.org/10.1016/s1052-3359(03)00071-1
dc.subjectHumans
dc.subjectBarrett Esophagus
dc.subjectGastroesophageal Reflux
dc.subjectRecurrence
dc.subjectLaparoscopy
dc.subjectTreatment Outcome
dc.subjectRemission Induction
dc.subjectFundoplication
dc.titleResults of laparoscopic antireflux operations in patients who have Barrett's esophagus
dc.typeJournal article
pubs.publication-statusPublished

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