Clinical Case Database / Category: Patient Management

Gastro-oesophageal reflux

Publication details

CE Owers, R Ackroyd
Foundation Years Journal, volume 6, issue 4, p.30 (123Doc Education, London, April 2012)

Abstract

Mr X is a fit and well 54 year old gentleman, who has suffered from postprandial dyspepsia for approximately 2 years. Previously relieved by simple antacids, the pain has become progressively worse and now occurs at night as well as after meals. His general practitioner had prescribed him a course of omeprazole.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

ProductPriceSubscription
Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart

Authors

CE Owers

-

R Ackroyd

-

References

1. Dodds WJ, Dent J, Hogan WJ, et al. Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med1982;307:1547–52
2. Friedenberg FK, Xanthopoulos M, Foster GD, Richter JE. The association between gastroesophageal reflux disease and obesity. Am J Gastroenterol. 2008 Aug;103(8):2111-22
3. Hashem El-Serag Role of obesity in GORD-related disorders Gut 2008;57:281-284 doi:10.1136/gut.2007;
4. T Kaltenbach, S Crockett Arch Intern Med; 2006 - intramed.net Are lifestyle measures effective in patients with gastroesophageal reflux disease
5. Ronkainen J, Aro P, Storskrubb T, Johansson SE, Lind T, Bolling-Sternevald E, Vieth M, Stolte M, Talley NJ, Agréus L. Prevalence of Barrett’s esophagus in the general population: an endoscopic study. Gastroenterology. 2005 Dec;129(6):1825-31.
6. Cameron AJ. Epidemiology of Barrett’s esophagus and adenocarcinoma. Diseases of the Esophagus. 2002; 15:106–108
7. Marano S, Mattacchione S, Paltrinieri G, Palombi L, Mingarelli V, Tosato F. A three-year experience of the Referral Center for Surgical Treatment of Gastroesophageal Reflux Disease. Minerva Chir. 2011 Apr;66(2):77-86.
8. Liam Murray Peter Watson, Brian Johnston, , James Sloan, Inder Mohan Lal Mainie, Anna Gavin Risk of adenocarcinoma in Barrett’s oesophagus: population based study BMJ 327 : 534 doi: 10.1136/bmj.327.7414.534
9. Morgenthal C B, Lin E, Shane M D, Hunter J G, Smith C D (2007) Who will fail laparoscopic Nissen fundoplication? Preoperative prediction of long-term outcomes. Surg Endosc 21:1978-1984
10. Perez A R, Moncure A C, Rattner D W (2001) Obesity adversely affects the outcome of antireflux operations. Surg Endosc 15:986-989
11. Stuart Jon Spechler, MD, Edward Lee, Dennis Ahnen, Raj K. Goyal, Ikuo Hirano, Francisco Ramirez, Jean-Pierr Raufman, Richard Sampliner, Thomas Schnell, Stephen Sontag, Z. Reno Vlahcevic, Renee Young, William Williford, Long-term Outcome of Medical and Surgical Therapies for Gastroesophageal Reflux Disease JAMA, May 9, 2001—Vol 285, No. 18
12. Ackroyd R, Watson DI, Majeed AW, Troy G, Treacy PJ, Stoddard CJ. Randomized clinical trial of laparoscopic versus open fundoplication for gastro-oesophageal reflux disease Br J Surg. 2004 Aug;91(8):975-82
13. Geagea T. Laparoscopic Nissen’s fundoplication: preliminary report on ten cases. Surg. Endosc.5,170–173 (1991).
14. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg. Laparosc. Endosc.1,138–143 (1991).
15. Watson DI, Jamieson GG, Devitt PG, Kennedy JA, Ellis T, Ackroyd R, Lafullarde T, Game PA. A prospective randomized trial of laparoscopic Nissen fundoplication with anterior vs posterior hiatal repair. Arch Surg. 2001 Jul;136(7):745-51.
16. Perttila J, Salo M, Ovaska J, Gonroos J, Lavonius M, Katila A et al. Immune response after laparoscopic and conventional Nissen fundoplication. Eur J Surg 1999;165:21-8.
17. Heikkinen TJ, Haukipuro K, Bringman S, Ramel S, Sorasto A, Hulkko A. Comparison of laparoscopic and open Nissen fundoplication 2 years after operation. A prospective randomized trial. Surg Endosc 2000;14:1019-23.
18. Nilsson G, Larsson S, Johnsson F. Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period. Br J Surg 2000;87:873-8.
19. Chrysos E, Tsiaoussis J, Athanasakis E, Zoras O, Vassilakis JS, Xynos E. Laparoscopic vs open approach for Nissen fundoplication. A comparative study. Surg Endosc 2002;16:1679-84.
20. Salminen PT, Hiekkanen HI, Rantala AP, Ovaska JT. Comparison of longterm outcome of laparoscopic and conventional nissen fundoplication: a prospective randomized study with an 11-year follow-up. Ann Surg 2007;246:201-6.
21. C. Gordon, J. Y. Kang, P. J. Neild, J. D. Maxwell The role of the hiatus hernia in gastro-oesophageal reflux Alimentary Pharmacology & Therapeutics Volume 20, Issue 7, pages 719–732, October 2004
22. Hiebert C (1995) Massive incarcerated hiatal hernia. In: Pearson FG et al. (eds) Esophageal surgery. Churchill Livingstone, New York, pp 267–271
23. K.I. Bland et al. (eds.), Surgery of the Esophagus and Stomach (page 17),
DOI: 10.1007/978-1-84996-438-8_2
24. Shaw JM, Bornman PC, Callanan MD, Beckingham IJ, Metz DC. Long-term outcome of laparoscopic Nissen and laparoscopic Toupet fundoplication for gastroesophageal reflux disease: a prospective, randomized trial. Surg Endosc. 2010 Apr;24(4):924-32. Epub 2009 Sep 30.
25. Chen YK, Raijman I, Ben-Menachem T, et al. Long-term outcomes of endoluminal gastroplication; a US multicenter trial. Gastrointest Endosc 2005;61:659–667.
26. www.nice.org.uk/nicemedia/live/11132/31213/31213.pdf
27. Gutschow C A, Collet P, Prenzel K, Holscher A H, Schneider P M (2005) Long-term results and gastroesophageal reflux in a series of laparoscopic adjustable gastric banding. J Gastrointest Surg 9:941-948
28- Tolonen P, Victorzon M, Niemi R, Makela J (2006) Does gastric banding for morbid obesity reduce or increase gastroesophageal reflux? Obes Surg 16:1469-1474
29. Hinder RA, Filipi CJ, Wetscher G, et al. Laparoscopic Nissen fundoplicationis an effective treatment for gastroesophageal reflux disease. Ann Surg. 1994;220:472-483.
30. Hunter JG, Trus TL, Branum GD, et al. A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg. 1996;223:673-687
31. Peters JH, Heimbucher J, Kauer WK, et al. Clinical and physiologic comparison of laparoscopic and open Nissen fundoplication. J Am Coll Surg. 1995;180:385-393.
32. Jamieson GG, Watson DI, Britten-Jones R, et al. Laparoscopic Nissen fundoplication. Ann Surg. 1994;220:137-145.
33. Cushieri A, Hunter JG, Wolfe B, et al. Multicenter prospective evaluation of laparoscopic antireflux surgery. Surg Endosc. 1995;7:505-510.
34. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB. Evidence-based appraisal of anti-reflux fundoplication. Ann Surg. 2004 Mar;239(3):325-37.
35. Brant K. Oelschlager, M.D.; Elina Quiroga, M.D.; Juan D. Parra, M.D.; Mark Cahill, M.D.; Nayak Polissar, Ph.D.; Carlos A. Pellegrini, M.D. Long-Term Outcomes After Laparoscopic Anti-reflux Surgery The American Journal of Gastroenterology. 2008;103(2):280-287
36. Beck PE, Watson DI, Devitt PG, Game PA, Jamieson GG Impact of gender and age on the long-term outcome of laparoscopic fundoplication. World J Surg. 2009 Dec;33(12):2620-6.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.