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Surgical therapies for gastro-oesophageal reflux disease

Sebastian F Schoppmann, Ivan Kristo
Published in : HAMDAN MEDICAL JOURNAL ; Vol 10, No 3 (2017)
DOI : 10.7707/hmj.745

Abstract


One of the most innovative fields in modern medicine is surgical therapy for gastro-oesophageal reflux disease (GORD). As Western lifestyle and modern working conditions have led to a burdensome increase in people experiencing symptoms of GORD, academic surgeons have needed to develop strategies for patient-adapted treatment. Several new techniques are challenging the standard surgical approach of laparoscopic fundoplication. First and foremost is magnetic sphincter augmentation, a powerful new tool that uses magnetic force to strengthen the lower oesophageal sphincter; inclusion criteria for this treatment are relatively extensive and outcomes are promising. Alternatively, electrical sphincter stimulation is a minimally invasive implantation process associated with a reduction in oesophageal acid exposure time and improved quality of life. Both of these therapies are available to patients at our centre as part of our individualized treatment for GORD. Endoscopic fundoplication is yet another technique enriching the pool of newly developed antireflux therapies; promising initial results, including a notable reduction in gastro-oesophageal reflux, will have to prove durable.


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