Abstract
Background: Gastroesophageal reflux disease (GERD) is one of the most frequent benign disorders of the upper gastrointestinal tract. Management of GERD has always been controversial since modern medical therapy is very effective, but laparoscopic fundoplication is one of the few procedures that were quickly adapted to the minimal access technique. The purpose of this project was to analyze the current knowledge on GERD in regard to its pathophysiology, diagnostic assessment, medical therapy, and surgical therapy, and special circumstances such as GERD in children, Barrett's esophagus, and enteroesophageal and duodenogastroesophageal reflux. Methods: The European Association of Endoscopic Surgery (EAES) has tasked a group of experts, based on their clinical and scientific expertise in the field of GERD, to establish current guidelines in a consensus development conference. The expert panel was constituted in May 2012 and met in September 2012 and January 2013, followed by a Delphi process. Critical appraisal of the literature was accomplished. All articles were reviewed and classified according to the hierarchy of level of evidence and summarized in statements and recommendations, which were presented to the scientific community during the EAES yearly conference in a plenary session in Vienna 2013. A second Delphi process followed discussion in the plenary session. Results: Recommendations for pathophysiologic and epidemiologic considerations, symptom evaluation, diagnostic workup, medical therapy, and surgical therapy are presented. Diagnostic evaluation and adequate selection of patients are the most important features for success of the current management of GERD. Laparoscopic fundoplication is the most important therapeutic technique for the success of surgical therapy of GERD. Conclusions: Since the background of GERD is multifactorial, the management of this disease requires a complex approach in diagnostic workup as well as for medical and surgical treatment. Laparoscopic fundoplication in well-selected patients is a successful therapeutic option.
| Original language | English |
|---|---|
| Pages (from-to) | 1753-1773 |
| Number of pages | 21 |
| Journal | Surgical Endoscopy |
| Volume | 28 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Barrett's esophagus
- Gastroesophageal reflux disease
- GERD
- Laparoscopic fundoplication
- PPI
- Proton pump inhibitor
ASJC Scopus subject areas
- Surgery
- Medicine(all)
Cite this
EAES recommendations for the management of gastroesophageal reflux disease. / Fuchs, Karl Hermann; Babic, Benjamin; Breithaupt, Wolfram; Dallemagne, Bernard; Fingerhut, Abe; Furnee, Edgar; Granderath, Frank; Horvath, O.; Kardos, Peter; Pointner, Rudolph; Savarino, Edoardo; Van Herwaarden-Lindeboom, Maud; Zaninotto, Giovanni.
In: Surgical Endoscopy, Vol. 28, No. 6, 2014, p. 1753-1773.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - EAES recommendations for the management of gastroesophageal reflux disease
AU - Fuchs, Karl Hermann
AU - Babic, Benjamin
AU - Breithaupt, Wolfram
AU - Dallemagne, Bernard
AU - Fingerhut, Abe
AU - Furnee, Edgar
AU - Granderath, Frank
AU - Horvath, O.
AU - Kardos, Peter
AU - Pointner, Rudolph
AU - Savarino, Edoardo
AU - Van Herwaarden-Lindeboom, Maud
AU - Zaninotto, Giovanni
PY - 2014
Y1 - 2014
N2 - Background: Gastroesophageal reflux disease (GERD) is one of the most frequent benign disorders of the upper gastrointestinal tract. Management of GERD has always been controversial since modern medical therapy is very effective, but laparoscopic fundoplication is one of the few procedures that were quickly adapted to the minimal access technique. The purpose of this project was to analyze the current knowledge on GERD in regard to its pathophysiology, diagnostic assessment, medical therapy, and surgical therapy, and special circumstances such as GERD in children, Barrett's esophagus, and enteroesophageal and duodenogastroesophageal reflux. Methods: The European Association of Endoscopic Surgery (EAES) has tasked a group of experts, based on their clinical and scientific expertise in the field of GERD, to establish current guidelines in a consensus development conference. The expert panel was constituted in May 2012 and met in September 2012 and January 2013, followed by a Delphi process. Critical appraisal of the literature was accomplished. All articles were reviewed and classified according to the hierarchy of level of evidence and summarized in statements and recommendations, which were presented to the scientific community during the EAES yearly conference in a plenary session in Vienna 2013. A second Delphi process followed discussion in the plenary session. Results: Recommendations for pathophysiologic and epidemiologic considerations, symptom evaluation, diagnostic workup, medical therapy, and surgical therapy are presented. Diagnostic evaluation and adequate selection of patients are the most important features for success of the current management of GERD. Laparoscopic fundoplication is the most important therapeutic technique for the success of surgical therapy of GERD. Conclusions: Since the background of GERD is multifactorial, the management of this disease requires a complex approach in diagnostic workup as well as for medical and surgical treatment. Laparoscopic fundoplication in well-selected patients is a successful therapeutic option.
AB - Background: Gastroesophageal reflux disease (GERD) is one of the most frequent benign disorders of the upper gastrointestinal tract. Management of GERD has always been controversial since modern medical therapy is very effective, but laparoscopic fundoplication is one of the few procedures that were quickly adapted to the minimal access technique. The purpose of this project was to analyze the current knowledge on GERD in regard to its pathophysiology, diagnostic assessment, medical therapy, and surgical therapy, and special circumstances such as GERD in children, Barrett's esophagus, and enteroesophageal and duodenogastroesophageal reflux. Methods: The European Association of Endoscopic Surgery (EAES) has tasked a group of experts, based on their clinical and scientific expertise in the field of GERD, to establish current guidelines in a consensus development conference. The expert panel was constituted in May 2012 and met in September 2012 and January 2013, followed by a Delphi process. Critical appraisal of the literature was accomplished. All articles were reviewed and classified according to the hierarchy of level of evidence and summarized in statements and recommendations, which were presented to the scientific community during the EAES yearly conference in a plenary session in Vienna 2013. A second Delphi process followed discussion in the plenary session. Results: Recommendations for pathophysiologic and epidemiologic considerations, symptom evaluation, diagnostic workup, medical therapy, and surgical therapy are presented. Diagnostic evaluation and adequate selection of patients are the most important features for success of the current management of GERD. Laparoscopic fundoplication is the most important therapeutic technique for the success of surgical therapy of GERD. Conclusions: Since the background of GERD is multifactorial, the management of this disease requires a complex approach in diagnostic workup as well as for medical and surgical treatment. Laparoscopic fundoplication in well-selected patients is a successful therapeutic option.
KW - Barrett's esophagus
KW - Gastroesophageal reflux disease
KW - GERD
KW - Laparoscopic fundoplication
KW - PPI
KW - Proton pump inhibitor
UR - http://www.scopus.com/inward/record.url?scp=84903585944&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903585944&partnerID=8YFLogxK
U2 - 10.1007/s00464-014-3431-z
DO - 10.1007/s00464-014-3431-z
M3 - Article
C2 - 24789125
AN - SCOPUS:84903585944
VL - 28
SP - 1753
EP - 1773
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 1432-2218
IS - 6
ER -