[Alternative Surgical Anti-Reflux Procedures]. / Alternative operative Verfahren zur Behandlung der gastroösophagealen Refluxerkrankung.
Zentralbl Chir
; 146(2): 210-214, 2021 Apr.
Article
in De
| MEDLINE
| ID: mdl-33851383
ABSTRACT
Patient satisfaction when treated with acid-suppressing medication for chronic GERD disease is less than 70%. Surgical standardisation, centralisation, improved awareness of patient selection and new surgical methods have stimulated interest in surgical reflux therapy in recent years. Magnetic sphincter augmentation (MSA) seems to be a safe alternative to laparoscopic fundoplication, with reported complication rates of 0.1% and reoperation rates of 3.4% and is also effective (GERD-HRQL improvement from 19.9 to 4.1, p = 0.001 as well PPI cessation and pH normalisation in 79 and 89% of patients, respectively). Electric sphincter augmentation shows promising short-term results in small patient cohorts (92% symptomatic improvement). However, randomised controlled studies comparing these new techniques to the "gold standard" of laparoscopic fundoplication are still missing.
Full text:
1
Database:
MEDLINE
Main subject:
Gastroesophageal Reflux
/
Laparoscopy
Type of study:
Clinical_trials
Language:
De
Journal:
Zentralbl Chir
Year:
2021
Type:
Article