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Kirurško zdravljenje gastroezofagealne refluksne bolezniVeingerl, Bojan ...Gastroezofagealna refluksna bolezen (GERB) postaja v razvitem svetu v zadnjih dveh desetletjih pogosta bolezen, ki prizadene že okrog 10 % prebivalstva. Bolezen se kaže v večih kliničnih ... predstavitvah, od neerozivne (NERB), ki je prisotna pri 60-70 % bolnikov, do erozivne oblike (RE-refluksni ezofagitis) s pridruženimi zapleti, pogoste so tudi ekstraezofagealne težave. Porastu obolevnosti zaradi GERB-a sledi porast števila Barretovega požiralnika in adenokarcinoma požiralnika. GERB se zdravi s spremembo načina življenja, z zdravili, ki nevtralizirajo že izločeno želodčno kislino ali zmanjšajo izločanje želodčne kisline in v redkih primerih z operacijo. Indikacije za kirurško zdravljenje je ponovitev simptomov po prenehanju zdravljenja, neučinkovitost konzervativnega zdravljenja, nastanek zapletov GERB-a, bolniki s pljučnimi in laringealnimi kliničnimi znamenji refluksa ter odklanjanje zdravljenja z zdravili. Antirefluksni poseg lahko naredimo skozi trebuh ali prsni koš. Odločitev o tem je odvisna od bolnikovega stanja in dolžine požiralnika. Skozi trebuh operiramo klasično - odprto, ali v novejšem času laparoskopsko. Poseg je plastika hiatusa in fundoplikacija. Ponovitev bolezni se pojavi pri 10 % operiranih bolnikov.Source: Zbornik predavanj (Str. 127-133)Type of material - conference contribution ; adult, seriousPublish date - 2004Language - slovenianCOBISS.SI-ID - 1741631
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Veingerl, Bojan | ![]() |
Zorko, Anton, zdravnik | ![]() |
Crnjac, Anton | 90250 |
Vidovič, Damjan | 23378 |
Antonič, Jože | ![]() |
Urlep, Dejan | 24424 |
Source: Personal bibliographies
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