Surgery and in case the Nissen fundoplication sec Nissen, is to be applied to forms of oesophagitis medical treatment-resistant antisecretivo filled with IPP at doses, to subject young and cases complications oesophagitis as bleeding, severe Dysplasias, esophagus Barret, stenosis. Furthermore is indicated in patients who have developed a severe respiratory symptoms due to reflux. cases of esofagita reflux we can divide them into two groups for convenience: reflux for incapability esophageal sphincter storage, and esofagiti for hernia. this distinction is important for the surgical indication to the fondoplicatio. in the absence of hiatus hernia or ernie paraesofagee, considering new approaches that inietteno of endoscopic biocompatible substances at the level of the foregut junction with the aim of increasing the esophageal sphincter contineza in order to prevent the acid reflux. Published daA. Z. a01.42
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