Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018
서호석, 최미영, 손상용, 김민규, 한동석, 이한홍,
소속 상세정보
서호석 ( Seo Ho-Seok )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
최미영 ( Choi Mi-Young )
National Evidence-Based Healthcare Collaboration Agency
손상용 ( Son Sang-Yong )
Ajou University School of Medicine Department of Surgery
김민규 ( Kim Min-Gyu )
Hanyang University College of Medicine Hanyang University Guri Hospital Department of Surgery
한동석 ( Han Dong-Seok )
Seoul National University Boramae Hospital Department of Surgery
이한홍 ( Lee Han-Hong )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
Abstract
The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.
키워드
Fundoplication; Gastroesophageal reflux; Guideline; Systematic review; Treatment
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