Asma Bronquial Asociada a Enfermedad de Reflujo Gastroesofágico

Abstract

Gastroesophageal reflux disease is defined as a condition that develops when the reflux of stomach contents causes troublesome symptoms for the patient and / or complications. In the consensus meeting Montreal GERD was classified according to its manifestations into 2 groups: esophageal and extra- syndromes. There is little information on the prevalence of GERD, but in the western world the reported prevalence is 10-20%. Numerous epidemiological studies have described the association between GERD and respiratory diseases. There are three potential mechanisms for the presence of reflux symptoms associated extraesophageal: direct irritation of air epithelium by the reflux material; hypersensitivity afferents the cough reflex departing airway, by acid reflux, and a neural reflex between the esophagus and air tract. The presence of a hiatal hernia, esophageal reflux facilitates. The aim of this case is to establish the relationship between the symptoms of bronchial asthma with GERD. The case is a 69 year old patient, for 4 years, is diagnosed with bronchial asthma treated so based bronchodilators however is not complete relief. 6 months ago found hiatal hernia, while respiratory symptoms are exacerbated, surgical resolution is decided in subsequent monitoring total absence of respiratory symptoms is evident. Antireflux surgery has been very effective in relieving symptoms in 88-95% of patients with good satisfaction studies short and long term. The surgical technique is the Nissen fundoplication an individual assessment of each case, including patient age, surgical risk, functional status of the esophageal body (motility) and consent by the patient should always be performed.