ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA BỆNH TRÀO NGƯỢC DẠ DÀY – THỰC QUẢN KHÁNG TRỊ ĐƯỢC ĐIỀU TRỊ BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with refractory gastroesophageal reflux disease (GERD) treated with laparoscopic surgery at Can Tho City General Hospital. Participants and methods: A cross-sectional descriptive study of 34 patients diagnosed with refractory GERD and treated with laparoscopic Nissen fundoplication at the Department of General Surgery, Can Tho City General Hospital, from January 2023 to April 2025. Clinical features, risk factors, and paraclinical findings were recorded and analyzed.

Results: The mean age was 34.71 ± 8.93 years; male patients accounted for 67.65%. Mean BMI was 20.91 ± 3.65. Common risk factors included consumption of caffeine-, chocolate- and fat-containing foods (52.94%) and alcohol (50%). The most common clinical symptoms were retrosternal burning and halitosis (94.12%), followed by epigastric pain and regurgitation (82.35%). Mean disease duration was 43.44 ± 21.29 months. Endoscopy revealed Los Angeles grade A esophagitis in 64.70% of patients and non-erosive reflux disease (NERD) in 35.30%. The Hill classification predominated at Grades I and II.

Conclusion: Refractory GERD frequently occurs in younger adults with a male predominance. Typical clinical symptoms are retrosternal burning and regurgitation; endoscopy mainly reveals mild esophagitis.