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Journal of Gastrointestinal Surgery

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01-03-2008 | original article

Use of Antireflux Medication After Antireflux Surgery

Authors: Bas P. L. Wijnhoven, Carolyn J. Lally, John J. Kelly, Jennifer C. Myers, David I. Watson

Published in: Journal of Gastrointestinal Surgery | Issue 3/2008

Abstract

Introduction

It is claimed that a substantial number of patients who undergo antireflux surgery use antireflux medication postoperatively. This study was aimed to determine the prevalence and underlying reasons for antireflux medication usage in patients after surgery.

Materials and Methods

A questionnaire on the usage of antireflux medication was sent to 1,008 patients identified from a prospective database of patients who had undergone a laparoscopic antireflux procedure.

Results

A total of 844 patients (84%) returned the questionnaire. Mean follow-up was 5.9 years after surgery. A single or combination of medications was being taken by 312 patients (37%): 82% proton pump inhibitors, 9% H₂-blockers and 34% antacids. Fifty-two patients (17%) had never stopped taking medication, whereas 260 patients (83%) restarted medication at a mean of 2.5 years after surgery. Return of the same (31%) or different (49%) symptoms were the commonest reasons for taking medication, whereas 20% were asymptomatic or had other reasons for medication use. Postoperative 24-hour pH studies were abnormal in 16/61 patients (26%) on medication and in 5/78 patients (6%) not taking medication.

Conclusions

Antireflux medication is frequently taken by many patients for various symptoms after antireflux surgery. Symptomatic patients should be properly investigated before antireflux medications are prescribed.

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Title: Use of Antireflux Medication After Antireflux Surgery
Authors: Bas P. L. Wijnhoven
Carolyn J. Lally
John J. Kelly
Jennifer C. Myers
David I. Watson
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 3/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0443-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Use of Antireflux Medication After Antireflux Surgery

Abstract

Introduction

Materials and Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusions

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