Have you experienced these feelings?
Anti -acid, heart burning, snoring, nausea,
Vomiting, bloating, stomach pain …
Mr. Wang (pseudonym) in his sixties has long been troubled by this.
"I have to take stomach medicine every day to control the symptoms. It will recur when the medicine stops, which seriously affects life!"
After inspection, he was diagnosed as gastric spouse reflux.
In the past 10 days, Mr. Wang’s symptoms of anti -acid heart burning have increased, and even the desire to eat has gone. After inquiring from various parties, he came to Shao Yifu Hospital’s gastroesophageal reflux disease clinic.
The doctor introduced a new technique for treating gastroesophageal reflux disease for Mr. Wang.After the surgery, Mr. Wang’s symptoms quickly relieved and discharged from the hospital. Since then, he no longer needs to take long -term oral suppression.
What are the symptoms of gastroesophageal reflux?
GastroeSophageal Reflux Disease (referred to as: GERD) refers to a disease that causes discomfort and cause discomfort.Typical symptoms are burning heart and reflux.
Others have some typical related symptoms, including: chest pain, abdominal pain, qi, abdominal distension, upper abdomen discomfort; foreign body sensation, swallowing pain, difficulty in swallowing, etc.
There are also symptoms of extractive tube, such as chronic cough, sound, sore throat, foreign body sensation, pharyngitis, asthma, tooth decay, etc.
Therefore, gastroesophageal reflux disease is a very good disease.
How did gastroesophageal reflux occurring?
The sphincter of the esophagus is a high -voltage area that exists in the range of 3 to 5cm on the boundary of the esophagus and gastric. It is like a "one -way gate" responsible for guarding.
In health, the sphincter of the esophagus allows only food and water in the esophagus to flow into the stomach, but it will not allow the stomach content to flow back to the food pipe.
The esophagus sphincter of patients with gastroesophageal reflux is relaxed. This "one -way gate" is failed.
Point
Who is easy to have gastroesophageal reflux disease?
The elderly, smoking, and obese people, especially those with hernia hernias with esophageal pores;
Pregnant expectant mothers (changes in hormone environment and increased pressure in the abdominal cavity), infant (low gastrointestinal power);
Drink a lot of irritating foods such as coffee, strong tea and chocolate, full food, excessive consumption of spicy and sour food and long -term constipation.
To sum up, this disease is mainly eaten and mental pressure has increased.
How to diagnose gastroesophageal reflux?
There are typical symptoms of heart burning and reflux symptoms.
If the symptoms are not typical or lack of typical symptoms, it can be monitored for 24-hour impedance-PH, which is the "gold standard" for diagnosis of gastroesophageal reflux disease.
The Department of Gastrointestinal Department of Shawiyu Hospital has the most advanced esophageal high -resolution measurement and 24 -hour pH+impedance monitoring. It can accurately detect the correlation of esophageal power, evaluate anti -current and symptoms, and provide reliable guidance for diagnosis and treatment, so as to be moreEasy to relieve symptoms and improve the quality of life.
Treatment
How to treat gastroesophageal reflux?
Change lifestyle
Avoid overeating; do not eat one hour before bedtime; try to quit smoking and drink less; try to avoid or eat less spicy or acidic food, high -fat diet, chocolate, coffee, strong tea, carbonated drinks, etc.
medical treatement
Inhibit gastric acid secretion and dynamic drugs.
However, 40%of patients still exist despite taking acidic agents every day.
Some people need to take drugs for a long time, and once the symptoms of drug discontinuation are stopped, they will recur immediately immediately.
Surgery
Laparoscopic stomach folding is the standard method for surgical therapy GERD, but only
Under -mirror minimally invasive therapy
In recent years, it has developed rapidly and has received better curative effects. Among them, cardia narrowing has attracted much attention.
What is cardia narrowing?
Cardiac narrowing (ECCL) is the latest technique of refractory gastric esophageal reflux diseases such as refractory esophagus, cardia relaxation, and esophageal pores hernia.
Under the endoscopic linker is used under gastroscopy to use a tie machine to use the loose mucous membrane around the cardia. After the mucous membrane falls off, it forms scars to tighten the cardia and achieve the purpose of preventing the internal reflux of the cavity.
What are the advantages of cardia narrowing?
Compared with traditional anti -rollover surgery, it has fast rehabilitation, low cost, and exact characteristics of curative effect. It does not use patients to control gastric acid with long -term use of acid suppression drugs, improve the quality of life of patients, and reduce economic burden.
Which people are suitable for cardia narrowing?
1
18-80 years old;
2
There are typical symptoms of reflux of gastrointestinal esophageal and (or) symptoms of outside esophagus, etc.;
3
Those who are not satisfied with drug treatment or are unwilling to take drugs for a long time;
4
Preoperative gastroscopy, 24-hour pH-impedance monitoring and high-resolution of esophageal voltage measurement Determined gastroesophageal reflux diagnosis;
5
Esophageal cracked hernia
Data Festival from: Shaw Run Hospital
Author: Gastrointestinal Medicine Zheng Xia Huang Wisdom
