Evaluation of the application and selection of surgical methods for gastroesophageal reflux caused by anatomical and functional abnormalities of the gastroesophageal junction
10.3760/cma.j.cn441530-20241226-00424
- VernacularTitle:食管胃结合部解剖结构和功能异常引起胃食管反流的相关手术方式选择及其应用评价
- Author:
Jin GOU
1
;
Chen LU
;
Tianyu LIU
;
Tiancheng ZHANG
;
Chunzhao YU
Author Information
1. 南京医科大学附属逸夫医院普通外科，南京 211112
- Publication Type:Journal Article
- Keywords:
Gastroesophageal reflux;
Esophageal junction;
Antireflux surgery;
Hiatal hernia
- From:
Chinese Journal of Gastrointestinal Surgery
2025;28(10):1203-1209
- CountryChina
- Language:Chinese
-
Abstract:
The esophagogastric junction serves as a natural anti-reflux barrier and possesses a complex anatomical configuration composed of several key components, including the lower esophageal sphincter, diaphragmatic crura, His angle, and phrenoesophageal ligament. Alterations in these anatomical structures or dysfunction thereof may predispose individuals to gastroesophageal reflux disease (GERD). In response to such structural and functional impairments, various therapeutic strategies have been developed. Surgical intervention is currently regarded as an effective approach for fundamentally addressing GERD, with commonly employed techniques including laparoscopic fundoplication, magnetic sphincter augmentation, and endoscopic radiofrequency ablation. The author classifies the anti-reflux mechanisms at the esophagogastric junction into intramural and extramural components, and based on this classification, systematically reviews and evaluates the indications and clinical applications of major surgical interventions for GERD, aiming to provide clinicians with evidence-based guidance for selecting appropriate therapeutic modalities.
