Reflusso gastroesofageo, nuova tecnica endoscopica

Developing a new endoscopic technique for treating gastroesophageal reflux disease apparently widespread, certainly at the Centre of a vast market. The surgery was performed successfully by a multidisciplinary team comprising Riccardo Rosati, responsible for the operational unit of general surgery and Mini-Invasive Humanitas Clinical Institute in Rozzano (Milan), and by Alexander Repici, head of Digestive endoscopy under Division of Gastroenterology of the same Institute.
Now with this new technique were treated 20 cases in the world, all in Belgium at the Hôpital St. Pierre in Brussels, with very encouraging results both short (excellent tolerance and total absence of complications) both in the medium term (80-85% of patients in good condition with no need to take medication).
"Correcting altered features of Cardia, valve that connects the esophagus and stomach", explain Riccardo Rosati and Alessandro Repici, "occurs through an innovative device introduced orally under endoscopic Guide. The shape-to-tail shrimp its final part, that allows him to turn around at 90 °, enables plastic back to 270 ° through a system of retraction of gastric wall (helical retraktor) and the placement of polypropylene sutures that weld oesophagus and stomach by rebuilding the natural barrier anti-reflux similarly to surgery. The results are in fact entirely comparable to those obtained with plastic back second ' Thomert ', the surgical technique which is most widely used in France. The procedure, for now performed under general anaesthetic, lasts approximately one hour.Thanks to its minimally invasive allows the patient an immediate recovery.If the results in the medium and long term positive continue in the future this methodical will surely be applied with indications that exceed the surgery, which still maintains a role of first choice especially for patients with hernia and/or Barrett's esophagus: when this device is still being tested, and is the subject of a multicenter study involving over to Italy, France and Belgium ".
This new technique, in patients with the correct signs-for example, in the absence of a hiatus hernia very voluminous-allows to avoid intervention more invasive or a drug therapy for life, which currently represent the standard of care of reflux.
The gastroesophageal reflux disease is a chronic relapsing, whose symptoms (heartburn or behind the sternum, acidity, regurgitation, sense of digestion slow and tiring) have a negative impact on quality of life of the patient. Poorly cared for, in addition, this disease is one of the major risk factors for the development of Barrett's esophagus and esophageal cancer. Learn to recognize the symptoms of gastroesophageal reflux is therefore very important to contact your doctor immediately and begin a treatment fit.
Beyond the new endoscopic are today two methodologies proven care: medical therapy or surgery.The first is based on the assumption of drugs that prevent the production of gastric acid level, thus depriving the material back into the esophagus of harmful properties for the esophageal mucosa.The intervention of "laparoscopic Nissen fundoplication" instead, aims to rebuild the natural barrier anti-reflux Cardia level.Source: Press Office Humanitas Clinical Institute 2006.

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