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Antireflux surgery in the setting of lung transplantation: strategies for treating gastroesophageal reflux disease in a high-risk population.

Publication ,  Journal Article
Hartwig, MG; Appel, JZ; Davis, RD
Published in: Thorac Surg Clin
August 2005

In lung transplant recipients, GERD is associated with increased incidence of acute rejection, earlier onset of chronic rejection, and higher mortality. Surgical treatment of GERD in lung recipients seems to prevent early allograft dysfunction and improve overall survival. A total (360 degrees) fundoplication is shown to be a safe and effective method for treating GERD in lung transplant recipients and is the authors' procedure of choice, in most cases, for this high-risk patient population. The principal goal should be to minimize reflux of enteric contents that may lead to micro- or macroaspiration events in this complicated group of patients. Perioperative care should involve a multidisciplinary approach, including physicians and other health care providers familiar with the complexities of lung transplant recipients.

Duke Scholars

Published In

Thorac Surg Clin

DOI

ISSN

1547-4127

Publication Date

August 2005

Volume

15

Issue

3

Start / End Page

417 / 427

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survival Rate
  • Severity of Illness Index
  • Risk Assessment
  • Respiratory System
  • Postoperative Complications
  • Perioperative Care
  • Patient Selection
  • Male
  • Lung Transplantation
 

Citation

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Chicago
ICMJE
MLA
NLM
Hartwig, M. G., Appel, J. Z., & Davis, R. D. (2005). Antireflux surgery in the setting of lung transplantation: strategies for treating gastroesophageal reflux disease in a high-risk population. Thorac Surg Clin, 15(3), 417–427. https://doi.org/10.1016/j.thorsurg.2005.03.001
Hartwig, Matthew G., James Z. Appel, and R Duane Davis. “Antireflux surgery in the setting of lung transplantation: strategies for treating gastroesophageal reflux disease in a high-risk population.Thorac Surg Clin 15, no. 3 (August 2005): 417–27. https://doi.org/10.1016/j.thorsurg.2005.03.001.
Hartwig, Matthew G., et al. “Antireflux surgery in the setting of lung transplantation: strategies for treating gastroesophageal reflux disease in a high-risk population.Thorac Surg Clin, vol. 15, no. 3, Aug. 2005, pp. 417–27. Pubmed, doi:10.1016/j.thorsurg.2005.03.001.
Journal cover image

Published In

Thorac Surg Clin

DOI

ISSN

1547-4127

Publication Date

August 2005

Volume

15

Issue

3

Start / End Page

417 / 427

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survival Rate
  • Severity of Illness Index
  • Risk Assessment
  • Respiratory System
  • Postoperative Complications
  • Perioperative Care
  • Patient Selection
  • Male
  • Lung Transplantation