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Причини ГЕРХ - Сторінка 2 - Гастроентерологія - Форум лікарів
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Причини ГЕРХ

Ковтун
Повідомлень: 21
З нами з: 28 лютого 2015, 13:58
Спеціальність: ендоскопіст
Звідки: Україна
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Re: Причини ГЕРХ

Повідомлення#11 » 29 серпня 2016, 10:16

Успішна антирефлюксна операція не гарантує «довічного» одужання. Кращі результати отримані досвідченими хірургами в спеціалізованих центрах, де частота рецидиву симптомів мінімальна. Велика ж кількість операцій виконується в неспеціалізованих клініках, де результати не такі хороші і де рецидив спостерігається у великої кількості пацієнтів. До того ж, більшість оперованих, через 10-15 років після фундоплікації повертаються до прийому антирефлюксних препаратів.

Гностик
Повідомлень: 55
З нами з: 28 лютого 2015, 14:04
Спеціальність: хірург
Звідки: Україна
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Re: Причини ГЕРХ

Повідомлення#12 » 30 серпня 2016, 12:20

Антирефлюксні операції є розумним варіатном в двох випадках: (1) у здорових пацієнтів з типовою або атипової клінікою ГЕРХ, яка добре контролюється блокаторами протонної помпи і які наполягають на альтернативі через високу вартість консервативної терапії, неможливості / небажання слідувати лікарським приписами або через страх невідомості побічних ефектів тривалої терапії; (2) пацієнти з об'ємною регургітацією і аспіраційним синдромом, що не контролюється блокаторами протонної помпи. Ось, власне, і все. У пацієнтів, які не відповідають на лікування БПП цілком може бути і інша етіологія скарг (медикаментозний езофагіт, порушення перистальтики шлунка, функціональні печії). До таких пацієнтів хірургічний підхід повинен бути дуже обережним.

bonjorno
Повідомлень: 97
З нами з: 19 лютого 2015, 23:14
Спеціальність: хірург
Звідки: Київ
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Re: Причини ГЕРХ

Повідомлення#13 » 20 вересня 2016, 13:07


bonjorno
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З нами з: 19 лютого 2015, 23:14
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Re: Причини ГЕРХ

Повідомлення#14 » 22 вересня 2016, 11:33


bonjorno
Повідомлень: 97
З нами з: 19 лютого 2015, 23:14
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Re: Причини ГЕРХ

Повідомлення#15 » 22 вересня 2016, 11:35


bonjorno
Повідомлень: 97
З нами з: 19 лютого 2015, 23:14
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Re: Причини ГЕРХ

Повідомлення#16 » 22 вересня 2016, 11:38


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