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Rossetti 将食管裂孔疝、贲门功能不全、下段食管炎等统称为食管反流性疾病(GERD),明确地指明了致病的基本原因。近年来发现,该病的发病率明显高于消化性溃疡;且有可能诱发食管柱状上皮症(Ba-rrett 氏食管病)而成为癌前期病变,因此受到了广泛重视。目前尚无法从根本上矫治食管贲门部的不正常运动,外科治疗的目的是防止胃内容物的反流,内科药物治疗则是改变反流物的性质,以减轻其对食管的危害性。但药物治疗时反流仍存在,一旦停药,原病仍可再发。
Rossetti will be hiatal hernia, cardia insufficiency, lower esophagitis, collectively referred to as esophageal reflux disease (GERD), clearly pointed out the basic causes of disease. In recent years, it was found that the incidence of the disease was significantly higher than peptic ulcer; and may induce esophageal columnar epithelial disease (Ba-rrett’s esophagus) and become precancerous lesions, it has been widely appreciated. At present, it is impossible to correct the abnormal movement of the esophageal cardia department, the purpose of surgical treatment is to prevent the reflux of gastric contents, medical drug treatment is to change the nature of reflux, in order to reduce its harm to the esophagus. However, drug treatment reflux still exists, once the withdrawal, the original disease can still be repeated.