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• W2023761356 abstract "We report the long-term results of surgical repair of gastroesophageal reflux in 44 asthmatic patients who underwent surgery more than five years earlier (mean = 7.9 ± 1.5 years). The severe asthma was associated with clinically evident reflux, and repair was attempted by surgical technique Nissen transabdominal gastropexy, with the following results: total cure, 11 cases (25 percent); marked improvement, 7 (16 percent); moderate improvement, 11 (25 percent); no improvement, 15 (34 percent). Cure was attained in intrinsic asthma with a predominance of nocturnal crises, associated with nocturnal tracheitis and with significant reflux, objective signs of which had appeared before the beginning of the asthma. Other results concerned asthmas complicated secondarily by GER in which it was impossible to determine whether the reflux was only a complication, without effect on the respiratory illness, or exacerbating the asthma. The question of surgery in these patients should be considered with care, being reserved for cases of severe asthma, poorly controlled by antiasthmatic drugs, and complicated by a severe reflux that encompasses ulcerative esophagitis. (Chest 1989; 96:40-45) We report the long-term results of surgical repair of gastroesophageal reflux in 44 asthmatic patients who underwent surgery more than five years earlier (mean = 7.9 ± 1.5 years). The severe asthma was associated with clinically evident reflux, and repair was attempted by surgical technique Nissen transabdominal gastropexy, with the following results: total cure, 11 cases (25 percent); marked improvement, 7 (16 percent); moderate improvement, 11 (25 percent); no improvement, 15 (34 percent). Cure was attained in intrinsic asthma with a predominance of nocturnal crises, associated with nocturnal tracheitis and with significant reflux, objective signs of which had appeared before the beginning of the asthma. Other results concerned asthmas complicated secondarily by GER in which it was impossible to determine whether the reflux was only a complication, without effect on the respiratory illness, or exacerbating the asthma. The question of surgery in these patients should be considered with care, being reserved for cases of severe asthma, poorly controlled by antiasthmatic drugs, and complicated by a severe reflux that encompasses ulcerative esophagitis. (Chest 1989; 96:40-45) Asthma and Gastroesophageal RefluxCHESTVol. 96Issue 1PreviewGastroesophageal (GE) reflux is an extremely common clinical problem usually manifested by heartburn or acid regurgitation. These symptoms are estimated to occur daily in up to 10 percent of the US population and intermittently in 50 percent or more of otherwise healthy individuals.1 The typical postprandial occurrence of these symptoms usually makes the diagnosis readily apparent and the widespread use of over-the-counter antacid-type medications testifies to the high frequency with which these complaints plague our society. Full-Text PDF" @default.
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• W2023761356 date "1989-07-01" @default.
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• W2023761356 title "Long-term Results of Surgical Treatment for Gastroesophageal Reflux in Asthmatic Patients" @default.
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• W2023761356 doi "https://doi.org/10.1378/chest.96.1.40" @default.
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