Ortiz PRJ

Language: Spanish
References: 21
Page: 45-47
PDF size: 31.49 Kb.

ABSTRACT

The evolution that during various centuries has experienced the diagnosis and treatment of the illness by reflux gastroesofágico is very enriquecedora. Already since the century XVI Ambroise Paré did a descriptions of the hernias diafragmáticas, congenital and traumatic, and in the subsequent centuries Riverius Lazari, Giovanni Batista Morgani, Angelo Soresi, Richard Sweet and Vincent Bochdalek, among many others, they undertook these companies, establishing a solid base of know-how for the current doctor. Nevertheless, it is to the 20th century when the large advances as for the diagnosis they are carried out and treatment of the illnesses by gastrointestinal reflux, thanks to the incorporation of the X-rays, the computerized tomographies, the techniques by thoracic approach, the manometría, the fibroscopio optic, the laparoscopía and other systems of surgical assistance. It deserves to stand out the role performed by Rudolph Nissen and Ronald Belsey in the decade from the 50 to the incorporr the techniques of gastroplicatura and funduplicatura in the processing by illness of reflux gastroesofágico. In the subsequent decades, students of Nissen, like Mario Rossetti, perfeccionron the technique. In parallel to the advances in the surgical area, the advancements in the farmacología have contributed large advances for the medical processing of the ERGE, as are the blockers H2 of the inhibiting of bomb in the procinéticos. Of equal form, the chemistry of minimum invasion have offered the patient many greater possibilities to avoid the morbimortalidad.

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