Russian Consensus: Standardization of Indications for Surgical Treatment of GERD
Aim: to present the results of an Expert Consensus on standardization of indications for surgical treatment of gastroesophageal reflux disease (GERD). Materials and methods. The issues of standardization of indications for surgical treatment of GERD were discussed by 39 experts – leading gastroenter...
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Gastro LLC
2025-03-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/1559 |
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| author | I. Ye. Khatkov D. S. Bordin O. S. Vasnev S. R. Abdulkhakov A. S. Allakhverdyan D. N. Andreev V. V. Anishchenko I. G. Bakulin N. V. Bakulina M. V. Burmistrov E. R. Valitova D. I. Vasilevsky F. P. Vetshev E. A. Gallyamov S. A. Domrachev R. Ye. Izrailov V. A. Isakov V. O. Kaybysheva M. A. Koshkin Yu. A. Kucheryavyy M. A. Livzan O. E. Lutsevich I. V. Maev S. V. Morozov A. A. Moroshek M. F. Osipenko M. V. Pavlov E. V. Parfenchikova D. V. Ruchkin A. V. Sazhin A. A. Smirnov O. A. Storonova A. S. Trukhmanov T. V. Khorobrykh M. F. Cherkasov A. L. Shestakov K. V. Shishin Yu. V. Embutnieks V. T. Ivashkin |
| author_facet | I. Ye. Khatkov D. S. Bordin O. S. Vasnev S. R. Abdulkhakov A. S. Allakhverdyan D. N. Andreev V. V. Anishchenko I. G. Bakulin N. V. Bakulina M. V. Burmistrov E. R. Valitova D. I. Vasilevsky F. P. Vetshev E. A. Gallyamov S. A. Domrachev R. Ye. Izrailov V. A. Isakov V. O. Kaybysheva M. A. Koshkin Yu. A. Kucheryavyy M. A. Livzan O. E. Lutsevich I. V. Maev S. V. Morozov A. A. Moroshek M. F. Osipenko M. V. Pavlov E. V. Parfenchikova D. V. Ruchkin A. V. Sazhin A. A. Smirnov O. A. Storonova A. S. Trukhmanov T. V. Khorobrykh M. F. Cherkasov A. L. Shestakov K. V. Shishin Yu. V. Embutnieks V. T. Ivashkin |
| author_sort | I. Ye. Khatkov |
| collection | DOAJ |
| description | Aim: to present the results of an Expert Consensus on standardization of indications for surgical treatment of gastroesophageal reflux disease (GERD). Materials and methods. The issues of standardization of indications for surgical treatment of GERD were discussed by 39 experts – leading gastroenterologists and surgeons from 7 cities of Russia, representing 17 institutions. The list of questions for discussion was formed by the initiative group and sent to the experts. The experts reviewed recent literature, including existing clinical guidelines and consensuses, assessed the evidence base and suggested statements for voting based on the analysis of relevant provisions of foreign consensuses, high-level scientific publications, which set out information obtained in the course of studies that meet the criteria of evidence-based medicine, positions on this issue in the Russian Federation, and suggested statements for voting. Delphi method was used to reach the consensus.Results. GERD is the most common benign esophageal disorder. Surgery is considered one of the treatment methods for GERD. In real clinical practice, selection of patients who may benefit from surgery is challenging. The results of surgical and conservative treatment of GERD are comparable. Surgical treatment should be performed in a specialized hospital only after a joint examination with a gastroenterologist confirming the diagnosis of GERD. An appropriate volume of preoperative diagnostic workup, matters related to surgical interventions in case of incomplete response to proton pump inhibitors (PPIs) and when extraesophageal manifestations of GERD are present were discussed. The consensus reviews the indications, contraindications and possible results of antireflux operations in patients with GERD. The value of endoscopy, esophageal manometry, pH monitoring/pH-impedance monitoring and X-ray polypositional examination of the upper gastrointestinal tract as a preoperative examination of the patient is analysed. Conclusions. The experts reached the consensus on 20 statements on standardization of indications for surgical treatment of GERD. |
| format | Article |
| id | doaj-art-b4f598df6483436e9ccd4e04435e6ba6 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-b4f598df6483436e9ccd4e04435e6ba62025-08-20T03:46:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732025-03-01351749310.22416/1382-4376-2025-35-1-74-931142Russian Consensus: Standardization of Indications for Surgical Treatment of GERDI. Ye. Khatkov0D. S. Bordin1O. S. Vasnev2S. R. Abdulkhakov3A. S. Allakhverdyan4D. N. Andreev5V. V. Anishchenko6I. G. Bakulin7N. V. Bakulina8M. V. Burmistrov9E. R. Valitova10D. I. Vasilevsky11F. P. Vetshev12E. A. Gallyamov13S. A. Domrachev14R. Ye. Izrailov15V. A. Isakov16V. O. Kaybysheva17M. A. Koshkin18Yu. A. Kucheryavyy19M. A. Livzan20O. E. Lutsevich21I. V. Maev22S. V. Morozov23A. A. Moroshek24M. F. Osipenko25M. V. Pavlov26E. V. Parfenchikova27D. V. Ruchkin28A. V. Sazhin29A. A. Smirnov30O. A. Storonova31A. S. Trukhmanov32T. V. Khorobrykh33M. F. Cherkasov34A. L. Shestakov35K. V. Shishin36Yu. V. Embutnieks37V. T. Ivashkin38Loginov Moscow Clinical Scientific Center; Russian University of MedicineLoginov Moscow Clinical Scientific Center; Russian University of Medicine; Tver State Medical UniversityLoginov Moscow Clinical Scientific CenterKazan (Volga Region) Federal University; Kazan State Medical UniversityRussian University of MedicineRussian University of MedicineNovosibirsk State Medical UniversityNorth-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. MechnikovKazan (Volga Region) Federal UniversityLoginov Moscow Clinical Scientific CenterAcademician I.P. Pavlov First Saint Petersburg State Medical UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian University of MedicineRussian University of MedicineLoginov Moscow Clinical Scientific CenterFederal Research Center of Nutrition, Biotechnology and Food SafetyN.I. Pirogov Russian National Research Medical UniversityLoginov Moscow Clinical Scientific CenterIlyinskaya HospitalOmsk State Medical UniversityRussian University of MedicineRussian University of MedicineFederal Research Center of Nutrition, Biotechnology and Food Safety; Russian Medical Academy of Continuous Professional EducationKazan (Volga Region) Federal UniversityNovosibirsk State Medical UniversityLoginov Moscow Clinical Scientific CenterLoginov Moscow Clinical Scientific CenterNational Medical Research Center of Surgery named after A. VishnevskyN.I. Pirogov Russian National Research Medical UniversityAcademician I.P. Pavlov First Saint Petersburg State Medical UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Rostov State Medical UniversityPetrovsky National Research Centre of SurgeryLoginov Moscow Clinical Scientific CenterLoginov Moscow Clinical Scientific CenterI.M. Sechenov First Moscow State Medical University (Sechenov University)Aim: to present the results of an Expert Consensus on standardization of indications for surgical treatment of gastroesophageal reflux disease (GERD). Materials and methods. The issues of standardization of indications for surgical treatment of GERD were discussed by 39 experts – leading gastroenterologists and surgeons from 7 cities of Russia, representing 17 institutions. The list of questions for discussion was formed by the initiative group and sent to the experts. The experts reviewed recent literature, including existing clinical guidelines and consensuses, assessed the evidence base and suggested statements for voting based on the analysis of relevant provisions of foreign consensuses, high-level scientific publications, which set out information obtained in the course of studies that meet the criteria of evidence-based medicine, positions on this issue in the Russian Federation, and suggested statements for voting. Delphi method was used to reach the consensus.Results. GERD is the most common benign esophageal disorder. Surgery is considered one of the treatment methods for GERD. In real clinical practice, selection of patients who may benefit from surgery is challenging. The results of surgical and conservative treatment of GERD are comparable. Surgical treatment should be performed in a specialized hospital only after a joint examination with a gastroenterologist confirming the diagnosis of GERD. An appropriate volume of preoperative diagnostic workup, matters related to surgical interventions in case of incomplete response to proton pump inhibitors (PPIs) and when extraesophageal manifestations of GERD are present were discussed. The consensus reviews the indications, contraindications and possible results of antireflux operations in patients with GERD. The value of endoscopy, esophageal manometry, pH monitoring/pH-impedance monitoring and X-ray polypositional examination of the upper gastrointestinal tract as a preoperative examination of the patient is analysed. Conclusions. The experts reached the consensus on 20 statements on standardization of indications for surgical treatment of GERD.https://www.gastro-j.ru/jour/article/view/1559gastroesophageal reflux diseasegerdsurgical treatmentesophageal manometryesophageal ph monitoringph-impedance monitoring |
| spellingShingle | I. Ye. Khatkov D. S. Bordin O. S. Vasnev S. R. Abdulkhakov A. S. Allakhverdyan D. N. Andreev V. V. Anishchenko I. G. Bakulin N. V. Bakulina M. V. Burmistrov E. R. Valitova D. I. Vasilevsky F. P. Vetshev E. A. Gallyamov S. A. Domrachev R. Ye. Izrailov V. A. Isakov V. O. Kaybysheva M. A. Koshkin Yu. A. Kucheryavyy M. A. Livzan O. E. Lutsevich I. V. Maev S. V. Morozov A. A. Moroshek M. F. Osipenko M. V. Pavlov E. V. Parfenchikova D. V. Ruchkin A. V. Sazhin A. A. Smirnov O. A. Storonova A. S. Trukhmanov T. V. Khorobrykh M. F. Cherkasov A. L. Shestakov K. V. Shishin Yu. V. Embutnieks V. T. Ivashkin Russian Consensus: Standardization of Indications for Surgical Treatment of GERD Российский журнал гастроэнтерологии, гепатологии, колопроктологии gastroesophageal reflux disease gerd surgical treatment esophageal manometry esophageal ph monitoring ph-impedance monitoring |
| title | Russian Consensus: Standardization of Indications for Surgical Treatment of GERD |
| title_full | Russian Consensus: Standardization of Indications for Surgical Treatment of GERD |
| title_fullStr | Russian Consensus: Standardization of Indications for Surgical Treatment of GERD |
| title_full_unstemmed | Russian Consensus: Standardization of Indications for Surgical Treatment of GERD |
| title_short | Russian Consensus: Standardization of Indications for Surgical Treatment of GERD |
| title_sort | russian consensus standardization of indications for surgical treatment of gerd |
| topic | gastroesophageal reflux disease gerd surgical treatment esophageal manometry esophageal ph monitoring ph-impedance monitoring |
| url | https://www.gastro-j.ru/jour/article/view/1559 |
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