Evaluating outcomes of endoscopic full-thickness plication for gastroesophageal reflux disease (GERD) with impedance monitoring

被引:13
|
作者
von Renteln, Daniel [1 ]
Schmidt, Arthur [1 ]
Riecken, Bettina [1 ]
Caca, Karel [1 ]
机构
[1] Klinikum Ludwigsburg, Dept Gastroenterol Hepatol & Oncol, D-71640 Ludwigsburg, Germany
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2010年 / 24卷 / 05期
关键词
Endoscopic full-thickness plication; Gastroesophageal reflux disease; GERD; Multichannel intraluminal impedance monitoring; Transmural suturing; Plicator; Endoscopic reflux therapy; MULTICHANNEL INTRALUMINAL IMPEDANCE; LAPAROSCOPIC NISSEN FUNDOPLICATION; LOWER ESOPHAGEAL SPHINCTER; PROTON PUMP INHIBITORS; SHAM-CONTROLLED TRIAL; QUALITY-OF-LIFE; RADIOFREQUENCY ENERGY; TOUPET FUNDOPLICATION; ACID EXPOSURE; ELECTRICAL-IMPEDANCE;
D O I
10.1007/s00464-009-0723-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
Endoscopic full-thickness plication allows transmural suturing at the gastroesophageal junction to recreate the antireflux barrier. Multichannel intraluminal impedance monitoring (MII) can be used to detect nonacid or weakly acidic reflux, acidic swallows, and esophageal clearance time. This study used MII to evaluate the outcome of endoscopic full-thickness plication. In this study, 12 subsequent patients requiring maintenance proton pump inhibitor therapy underwent endoscopic full-thickness plication for treatment of gastroesophageal reflux disease. With patients off medication, MII was performed before and 6-months after endoscopic full-thickness plication. The total median number of reflux episodes was significantly reduced from 105 to 64 (p = 0.016). The median number of acid reflux episodes decreased from 73 to 43 (p = 0.016). Nonacid reflux episodes decreased from 23 to 21 (p = 0.306). The median bolus clearance time was 12 s before treatment and 11 s at 6 months (p = 0.798). The median acid exposure time was reduced from 6.8% to 3.4% (p = 0.008), and the DeMeester scores were reduced from 19 to 12 (p = 0.008). Endoscopic full-thickness plication significantly reduced total reflux episodes, acid reflux episodes, and total reflux exposure time. The DeMeester scores and total acid exposure time for the distal esophagus were significantly improved. No significant changes in nonacid reflux episodes and median bolus clearance time were encountered.
引用
收藏
页码:1040 / 1048
页数:9
相关论文
共 50 条
  • [21] Full-thickness myotomy is associated with higher rate of postoperative gastroesophageal reflux disease
    Xue-Hong Wang
    Yu-Yong Tan
    Hong-Yi Zhu
    Chen-Jie Li
    De-Liang Liu
    World Journal of Gastroenterology, 2016, (42) : 9419 - 9426
  • [22] Endoscopic full-thickness plication for the treatment of GERD: Five-year long-term multicenter results
    Pleskow, Douglas
    Rothstein, Richard
    Kozarek, Richard
    Haber, Gregory
    Gostout, Christopher
    Lo, Simon
    Hawes, Robert
    Lembo, Anthony
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (02): : 326 - 332
  • [23] Endoscopic full-thickness plication for the treatment of GERD: Five-year long-term multicenter results
    Douglas Pleskow
    Richard Rothstein
    Richard Kozarek
    Gregory Haber
    Christopher Gostout
    Simon Lo
    Robert Hawes
    Anthony Lembo
    Surgical Endoscopy, 2008, 22 : 326 - 332
  • [24] Full-thickness Gastroplication for the Treatment of Gastroesophageal Reflux Disease: Short-term Results of a Feasibility Clinical Trial
    Kaindlstorfer, Adolf
    Koch, Oliver O.
    Berger, Johannes
    Asche, Kai Uwe
    Pointner, Rudolph
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2012, 22 (06) : 503 - 508
  • [25] Parameters on Esophageal pH-Impedance Monitoring That Predict Outcomes of Patients With Gastroesophageal Reflux Disease
    Patel, Amit
    Sayuk, Gregory S.
    Gyawali, C. Prakash
    CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2015, 13 (05) : 884 - 891
  • [26] Endoscopic treatment modalities for gastroesophageal reflux disease (GERD)Endoskopische Behandlungsverfahren bei gastroösophagealer Refluxkrankheit (GERD)
    B. H. A. von Rahden
    H. J. Stein
    European Surgery, 2006, 38 (4) : 262 - 282
  • [27] Endoscopic plication compared to laparoscopic fundoplication in the treatment of gastroesophageal reflux disease: a systematic review and meta-analysis
    Hajjar, Alexander
    Verhoeff, Kevin
    Jogiat, Uzair
    Mocanu, Valentin
    Birch, Daniel W.
    Switzer, Noah J.
    Wong, Clarence
    Karmali, Shahzeer
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2023, 37 (08): : 5791 - 5806
  • [28] Endoscopic full-thickness plication versus laparoscopic fundoplication: a prospective study on quality of life and symptom control
    Stavros A. Antoniou
    Oliver O. Koch
    Adolf Kaindlstorfer
    Kai U. Asche
    Johannes Berger
    Frank A. Granderath
    Rudolph Pointner
    Surgical Endoscopy, 2012, 26 : 1063 - 1068
  • [29] Endoscopic full-thickness plication versus laparoscopic fundoplication: a prospective study on quality of life and symptom control
    Antoniou, Stavros A.
    Koch, Oliver O.
    Kaindlstorfer, Adolf
    Asche, Kai U.
    Berger, Johannes
    Granderath, Frank A.
    Pointner, Rudolph
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (04): : 1063 - 1068
  • [30] An analysis of 342 patients with refractory gastroesophageal reflux disease symptoms using questionnaires, high-resolution manometry, and impedance-pH monitoring
    Wang, Fei
    Li, Ping
    Ji, Guo-Zhong
    Miao, Lin
    Fan, Zhining
    You, Sihong
    Pan, Xueqin
    Chen, Xia
    MEDICINE, 2017, 96 (05)