Vázquez SJH, Dávila ÁF, Montero PJJ, Dávila JU

Language: Spanish
References: 8
Page: 181-185
PDF size: 177.41 Kb.

ABSTRACT

At this time, there is no an ideal treatment to gastro esophageal reflux. At the end of 80´s the endoscopic procedures are used for this pathology. Sclerosis of lower sphincter or collagen substances administrated at the esophageal submucosae site like the Gatekeeper or the Enteryx were used with bad results. At the begin of 90´s different endoscopic procedures were used like endoluminal suture (Endocynch or Wilson-Cook), the plicature with staples (NDO), or using Radiofrequency but without good evolutions of patients. Collateral effects of these procedures are temporally dysphagia, odinophagia, burn in the esophageal mucosa, ulcer, perforation and mediastinitis. Each endoscopic treatment is around $2,500.00 US dollar For these treatment is necessary an special equipment and the benefit is for short period of time. In this time he minimal invasive surgery is considerate the «Gold Standard» treatment for the reflux. In this years the intraluminal surgery is an interest procedure to surgeon and for us was the reason to realize a new technique to create a fundoplicature with better results than others treatments.

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