Los procedimientos quirúrgicos para la enfermedad por reflujo gastroesofágico
DOI:
https://doi.org/10.52787/agl.v55i4.553Palabras clave:
Enfermedad por reflujo gastroesofágico, cirugía antirreflujo, funduplicatura, hernia hiatal, cirugía laparoscópica, cirugía robóticaResumen
La enfermedad por reflujo gastroesofágico representa una condición prevalente a nivel mundial con impacto significativo en la calidad de vida de los pacientes y una carga creciente para los sistemas de salud. En Argentina, se estima una prevalencia del 23% de síntomas típicos semanales, similar a lo reportado en otras regiones de Latinoamérica. Aunque la mayoría de los pacientes con esofagitis responden adecuadamente a los inhibidores de la bomba de protones, hasta un 30 a 40% de los casos puede mostrar una respuesta parcial o inadecuada, especialmente en aquellos con enfermedad no erosiva. En tal contexto, la cirugía es una alternativa válida y efectiva. Esta revisión tiene como objetivo analizar de manera actualizada y basada en evidencia la evaluación funcional preoperatoria, las técnicas quirúrgicas, la selección de los pacientes y la relación entre la enfermedad por reflujo gastroesofágico y condiciones especiales como obesidad o enfermedades reumatológicas.
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Derechos de autor 2025 David Solinas, Mauricio Ramírez, Alejandro Nieponice
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