17 Jul, 2014

Laparoscopic antireflux surgery in patients with extra esophageal symptoms related to asthma

Amanda Pinter Carvalheiro da SILVA
Valdir TERCIOTI-JUNIOR
Luiz Roberto LOPES
João de Souza COELHO-NETO
Laura BERTANHA
Paulo Rodrigo de Faria RODRIGUES
Nelson Adami ANDREOLLO
DOI: 10.1590/S0102-67202014000200002
Share this article

BACKGROUND:

Asthma, laryngitis and chronic cough are atypical symptoms of the gastroesophageal reflux disease.

AIM:

To analyze the efficacy of laparoscopic surgery in the remission of extra-esophageal symptoms in patients with gastroesophageal reflux, related to asthma.

METHODS:

Were reviewed the medical records of 400 patients with gastroesophageal reflux disease submitted to laparoscopic Nissen fundoplication from 1994 to 2006, and identified 30 patients with extra-esophageal symptoms related to asthma. The variables considered were: gender, age, gastroesophageal symptoms (heartburn, acid reflux and dysphagia), time of reflux disease, treatment with proton pump inhibitor, use of specific medications, treatment and evolution, number of attacks and degree of esophagitis. Data were subjected to statistical analysis, comparing the pre- and post-surgical findings.

RESULTS:

The comparative analysis before surgery (T1) and six months after surgery (T2) showed a significant reduction on heartburn and reflux symptoms. Apart from that, there was a significant difference between the patients with daily crises of asthma (T1 versus T2, 45.83% to 16.67%, p=0.0002) and continuous crises (T1, 41.67% versus T2, 8.33%, p=0.0002).

CONCLUSION:

Laparoscopic Nissen fundoplication was effective in improving symptoms that are typical of reflux disease and clinical manifestations of asthma.


. . .
Indexed in:
Follow us!
ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD.

Developed by Surya MKT