[Recent aspects in endoscopic and surgical antireflux therapy].
In addition to well established operative procedures for the treatment of gastroesophageal reflux disease, several laparoscopic, combined laparo-endoscopic, endoscopically guided or assisted, and purely endoscopic procedures have been developed in recent years (semiabsorbable antireflux scarf, laparo-endoscopic intraluminal valvuloplastic, endoluminal gastroplication procedure (C. R. Bard Inc.), endoscopic radiofrequency delivery to the lower esophageal sphincter (= Stretta procedure, Curon Medical Inc.), endoscopic implantable biopolymer (Enteryx) (= LESA procedure, Enteric Medical Technologies Inc.). At present, initial positive experimental and clinical results demonstrate a possible reinforcement of the reflux barrier at the esophagogastric junction. Information on a broader clinical application, a possible spectrum of indications, and long-term results on the safety and endurance of these procedures are not yet available.
Freys
S M
SM
Chirurgische Universitätsklinik, Josef-Schneider-Strasse 2, 97080 Würzburg.
D000818:Animals; D004285:Dogs; D004945:Esophagoscopy / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care