Impact of endoscopic suturing of the gastroesophageal junction on lower esophageal sphincter function and gastroesophageal reflux in patients with reflux disease.

作者: William C E Tam , Richard H Holloway , John Dent , Rachael Rigda , Mark N Schoeman

DOI: 10.1111/J.1572-0241.2004.04035.X

关键词: EndoscopyEsophageal sphincterSurgeryGastroesophageal JunctionEsophageal diseaseDiseaseHeartburnMedicineGastroenterologyGERDInternal medicineReflux

摘要: Objectives Plication of the gastroesophageal junction by endoscopic suturing has been reported to improve symptoms and reduce acid exposure in patients with reflux disease (GERD). The mechanisms underlying these effects are not well defined. aims our study were determine impact on lower esophageal sphincter (LES) function GERD. Methods In 15 (7 males) GERD (heartburn, % time pH Results Six months after treatment, rate transient LES relaxations (tLESRs) was decreased 37% (p Conclusions GERD, results a reduction tLESRs, an increase basal pressure. These changes result only modest reflux.

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