[Surgical and interventional procedures for reflux therapy : Endoscopic or laparoscopic?]
An optimal functioning of the gastroesophageal antireflux barrier depends on an anatomical overlapping of the lower esophageal sphincter and the crural diaphragm. Restoration of this situation is currently only possible by antireflux interventions combined with hiatoplasty and necessitates a laparoscopic approach. Newer alternative techniques to the generally accepted fundoplication are laparoscopic implantation of the LINX® device or the EndoStim® system and various endoscopic antireflux procedures, such as radiofrequency energy treatment, plication and implantation techniques aimed at augmentation of the gastroesophageal valve. Endoscopic techniques are becoming established more and more between pharmaceutical and surgical therapy instead of replacing them.
Allgemein- und Viszeralchirurgie, A.ö. Tauernklinikum GmbH Standort Zell am See, Paracelsusstr. 8, 5700, Zell am See, Österreich. kaiuwe.asche@tauernklinikum.at.
K U
KU
Asche
Allgemein- und Viszeralchirurgie, A.ö. Tauernklinikum GmbH Standort Zell am See, Paracelsusstr. 8, 5700, Zell am See, Österreich.
A
A
Kaindlstorfer
Allgemein- und Viszeralchirurgie, A.ö. Tauernklinikum GmbH Standort Zell am See, Paracelsusstr. 8, 5700, Zell am See, Österreich.
R
R
Pointner
D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods; D004567:Electrodes, Implanted; D049630:Esophageal Sphincter, Lower / Q000503:physiopathology / Q000601:surgery*; D004945:Esophagoscopy / Q000295:instrumentation / Q000379:methods; D005500:Follow-Up Studies; D018662:Fundoplication / Q000295:instrumentation / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000503:physiopathology / Q000601:surgery*; D006551:Hernia, Hiatal / Q000503:physiopathology; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D059346:Magnets; D019736:Prostheses and Implants; D017792:Surgical Stapling / Q000295:instrumentation / Q000379:methods
Fundoplication; GERD; Lower esophageal sphincter; Pathophysiology; Surgery