PMID- 36255718
OWN - NLM
STAT- Publisher
LR  - 20240216
IS  - 1090-3941 (Print)
IS  - 1090-3941 (Linking)
VI  - 41
DP  - 2022 Oct 17
TI  - RefluxStop Therapy - a New Minimally Invasive Technology in Anti-reflux Surgery.
LID - sti41/1622 [pii]
AB  - The symptoms of gastroesophageal reflux disease (GERD) are very common, but 
      cannot be reliably controlled with medication, as more than 40% of patients 
      suffer troublesome symptoms more than twice a week even when taking maximum doses 
      of proton pump inhibitors (PPI). Until recently, the only surgical option was 
      anti-reflux surgery, usually performed as a hiatal hernia repair and some form of 
      fundoplication. While this is still the gold standard, some centers note high 
      recurrence rates and/or high rates of side effects such as dysphagia, bloating, 
      and post-prandial discomfort. This paper describes a new surgical procedure that 
      controls reflux symptoms through hiatal hernia repair in combination with the 
      implantation of a silicone cube. The cube is implanted near the left side of the 
      esophagus above the lower esophageal sphincter (LES). The details of the 
      procedure, the indications for this new approach, the initial results, and the 
      rate of side effects compared to Nissen fundoplication are described. 
      Implantation of the CE-certified RefluxStop (Implantica, Zug, Switzerland) has 
      been used for 3 years and the initial studies show encouraging success rates. In 
      addition, side effects are significantly reduced. These results must be evaluated 
      in further studies.
FAU - Stephan, Dietmar
AU  - Stephan D
AD  - Saitama University International Medical Center, Japan.
AD  - 2Minimal Invasive and Robotic Surgery Clinic for General and Visceral Surgery, 
      St. Marien-Krankenhaus Siegen, Germany.
FAU - Borbely, Yves
AU  - Borbely Y
AD  - University Clinic for Visceral Surgery and Medicine, Inselspital Bern, 
      Switzerland.
FAU - Schoppmann, Sebastian Friedrich
AU  - Schoppmann SF
AD  - University Clinic for Surgery, Vienna, Austria.
AD  - Upper-GI-Service, Medical University of Vienna, Austria.
LA  - eng
PT  - Journal Article
DEP - 20221017
PL  - United States
TA  - Surg Technol Int
JT  - Surgical technology international
JID - 9604509
SB  - IM
EDAT- 2022/10/19 06:00
MHDA- 2022/10/19 06:00
CRDT- 2022/10/18 11:22
PHST- 2022/10/18 11:22 [entrez]
PHST- 2022/10/19 06:00 [pubmed]
PHST- 2022/10/19 06:00 [medline]
AID - sti41/1622 [pii]
PST - aheadofprint
SO  - Surg Technol Int. 2022 Oct 17;41:sti41/1622.