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Titolo:
Endoscopic valvuloplasty for GERD
Autore:
Martinez-Serna, T; Davis, RE; Mason, R; Perdikis, G; Filipi, CJ; Lehman, G; Nigro, J; Watson, P;
Indirizzi:
Creighton Univ, Dept Surg, Omaha, NE 68131 USA Creighton Univ Omaha NE USA 68131 on Univ, Dept Surg, Omaha, NE 68131 USA Creighton Univ, Dept Prevent Med, Omaha, NE 68131 USA Creighton Univ Omaha NE USA 68131 , Dept Prevent Med, Omaha, NE 68131 USA Univ So Calif, Dept Surg, Los Angeles, CA USA Univ So Calif Los Angeles CA USA o Calif, Dept Surg, Los Angeles, CA USA Indiana Univ, Dept Surg, Indianapolis, IN 46204 USA Indiana Univ Indianapolis IN USA 46204 t Surg, Indianapolis, IN 46204 USA
Titolo Testata:
GASTROINTESTINAL ENDOSCOPY
fascicolo: 5, volume: 52, anno: 2000,
pagine: 663 - 670
SICI:
0016-5107(200011)52:5<663:EVFG>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
GASTROESOPHAGEAL REFLUX; FLEXIBLE ENDOSCOPY; NISSEN FUNDOPLICATION; GASTRIC CARDIA; YIELD PRESSURE; SCLEROSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Filipi, CJ Creighton Univ, Dept Surg, 601 N 30th St,Suite 3740, Omaha, NE 68131 USA Creighton Univ 601 N 30th St,Suite 3740 Omaha NE USA 68131 USA
Citazione:
T. Martinez-Serna et al., "Endoscopic valvuloplasty for GERD", GASTROIN EN, 52(5), 2000, pp. 663-670

Abstract

Background: The transoral, endoscopic route has been suggested as a possible approach for the correction of severe gastroesophageal reflux. Such a procedure would involve no mobilization of the cardia or other structures. The optimal placement, number, and configuration of sutures remains undefined. Methods: With the use of a previously developed endoscopic sewing machine,this study was undertaken in baboons with two suture arrangements immediately below the lower esophageal sphincter. A linear arrangement (group I) and a circular arrangement (group II) were compared. During the 6 months after the procedure, the animals were evaluated using manometry, fluoroscopic barium swallow, upper gastrointestinal endoscopy, and a pressure volume test. Results: A significant increase in lower esophageal sphincter length was demonstrated only in group II (p = 0.010). A significant increase in lower esophageal sphincter pressure was demonstrated only in group I animals (p = 0.008). The abdominal length increased in group I (p = 0.004) and group II (p = 0.004). The yield pressure and yield volume did not differ significantly from those measured previously in control animals. No evidence of reflux, stricture formation, esophagitis, or other pathology was noted. Conclusions: Some manometric parameters associated with gastroesophageal reflux are altered by the endoscopic placement of sutures below the gastroesophageal junction, with no associated serious complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 18:56:07