[Magnetic oesophageal sphincter for the treatment of gastro-oesophageal reflux disease: results of a prospective clinical trial].

Chirurgia italiana Pub Date : 2009-03-01
Marco Nencioni, Emanuele Asti, Greta Saino, Davide Bona, Stefano Pallotta, Letizia Laface, Luigi Bonavina
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Abstract

The authors report the preliminary results of a prospective study in 30 patients with gastro-oesophageal reflux disease. The aim was to assess the efficacy of an-original device designed to augment the lower oesophageal sphincter barrier using magnetic force. The device was placed laparoscopically around the oesophagogastric junction, at the level of the z line identified by intraoperative endoscopy. Transient dysphagia not requiring any treatment was recorded in 45% of patients. At 3 months postoperatively, the GORD-HRQL score was fond to be significantly decreased from 24.4 to 2.2 (p < 0.001) and the DeMeester score was normalised in 80% of patients. At one year follow-up, 100% of patients were off proton pump inhibitors, and 70% of them had a normal DeMeester score. All patients preserved the ability to belch.

磁性食管括约肌治疗胃食管反流病:一项前瞻性临床试验的结果。
作者报告了对30例胃食管反流病患者进行前瞻性研究的初步结果。目的是评估一种设计用于利用磁力增强食管下括约肌屏障的原始装置的有效性。该装置在腹腔镜下放置在食管胃交界处,术中内窥镜识别的z线水平。45%的患者出现不需要任何治疗的短暂性吞咽困难。术后3个月,gor - hrql评分从24.4降至2.2 (p < 0.001), 80%的患者DeMeester评分恢复正常。在一年的随访中,100%的患者停用质子泵抑制剂,70%的患者DeMeester评分正常。所有病人都保留了打嗝的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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