{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T07:01:05Z","timestamp":1707116465183},"reference-count":7,"publisher":"Index Copernicus","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2017,8,31]]},"abstract":"<jats:p>The aim of the study was to evaluate the effectiveness of a diagnostic and therapeutic algorithm for gastroesophageal reflux disease complicated by Barrett\u2019s esophagus in 46 patients. Materials and methods. A diagnostic and therapeutic algorithm for complicated GERD was developed. To describe the changes in the esophagus with reflux esophagitis, the Los Angeles classification was used. Intestinal metaplasia of the epithelium in the lower third of the esophagus was assessed using videoendoscopy, chromoscopy, and biopsy. Quality of life was assessed with the Gastro-Intestinal Quality of Life Index. The used methods were modeling, clinical, analytical, comparative, standardized, and questionnaire-based. Results and their discussion. Among the complications of GERD, Barrett\u2019s esophagus was diagnosed in 9 (19.6 %), peptic ulcer in the esophagus in 10 (21.7 %), peptic stricture of the esophagus in 4 (8.7 %), esophageal-gastric bleeding in 23 (50.0 %), including Malory-Weiss syndrome in 18, and erosive ulcerous bleeding in 5 people. Hiatal hernia was diagnosed in 171 (87.7 %) patients (sliding in 157 (91.8%), paraesophageal hernia in 2 (1.2%), and mixed hernia in 12 (7.0%) cases). One hundred ninety-five patients underwent laparoscopic surgery. Nissen fundoplication was conducted in 176 (90.2%) patients, Toupet fundoplication in 14 (7.2%), and Dor fundoplication in 5 (2.6%). It was established that the use of the diagnostic and treatment algorithm promoted systematization and objectification of changes in complicated GERD, contributed to early diagnosis, helped in choosing treatment, and improved quality of life. Conclusions: Argon coagulation and use of PPIs for 8-12 weeks before surgery led to the regeneration of the mucous membrane in the esophagus. The developed diagnostic and therapeutic algorithm facilitated systematization and objectification of changes in complicated GERD, contributed to early diagnosis, helped in choosing treatment, and improved quality of life.<\/jats:p>","DOI":"10.5604\/01.3001.0010.3908","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T15:04:09Z","timestamp":1527001449000},"page":"29-32","source":"Crossref","is-referenced-by-count":1,"title":["Diagnosis and treatment of gastroesophageal reflux disease complicated by Barrett\u2019s esophagus"],"prefix":"10.5604","volume":"89","author":[{"given":"Andriy","family":"Stasyshyn","sequence":"first","affiliation":[{"name":"Department of Surgery and Endoscopy Faculty of postgraduate medical education Lviv National Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"152419r1","unstructured":"Shkvarkovskyy I.V.: Development of the algorithm treatment strategy in patients with GERD. Zaporozhye Medical Journal. 2009; \u21161:69\u201373."},{"key":"152419r2","unstructured":"DeMeester T.R., Johnson L.S., Joseph G.J. et al.: Patterns of gastroesophageal reflux in health and disease. Ann. Surg. 1976; 184: 459\u2013470."},{"key":"152419r3","doi-asserted-by":"crossref","unstructured":"DeVault K.R., Castell D.O.: Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Am. J. Gastroenterol. 1999: 1434 \u20131442.","DOI":"10.1111\/j.1572-0241.1999.1123_a.x"},{"key":"152419r4","doi-asserted-by":"crossref","unstructured":"Guyatt G., Townsend M., Berman I. et al.: A comparision of Likert and visual analogue scales for measuring change in function. J. Chron. Dis. 1987; Vol. 40: 1129\u20131233.","DOI":"10.1016\/0021-9681(87)90080-4"},{"key":"152419r5","doi-asserted-by":"crossref","unstructured":"Lundell L., Dent J., Bennett J. et al.: Endoscopic assessment of esophagitis: clinical and functional correlates and further validation of Los Angeles classification. Gut. 1999; 45: 172\u2013180.","DOI":"10.1136\/gut.45.2.172"},{"key":"152419r6","doi-asserted-by":"crossref","unstructured":"Stefanidis D., Hope W.W., Kohn G.P. et al.: The guidelines for surgical treatment of GERD. Surgical endoscopy. 2010; 24 (11): 789\u2013797.","DOI":"10.1007\/s00464-010-1267-8"},{"key":"152419r7","doi-asserted-by":"crossref","unstructured":"Sharma P., McQuaid K., Dent J. et al.: A critical review of the diagnosis and management of Barrett\u2019s esophagus: the AGA Chicago Workshop. Gastroenterology. 2004; 127: 310\u2013330","DOI":"10.1053\/j.gastro.2004.04.010"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.3908","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.3908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T09:38:53Z","timestamp":1571391533000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0010.3908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,31]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8,31]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0010.3908","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,31]]}}}