Gastric fundoplication with endoscopic technique:A novel approach for gastroesophageal reflux disease treatment  

作　　者：Eyad Gadour Anna Carolina Hoff 

机构地区：[1]Department of Gastroenterology and Hepatology,King Abdulaziz Hospital-National Guard,Ahsa 31982,Saudi Arabia [2]Internal Medicine,Zamzam University College,School of Medicine,Khartoum 11113,Sudan [3]Bariatric Endoscopy,Angioskope Clinic,São Josédos Campos 12243-680,São Paulo,Brazil

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第10期557-565,共9页世界胃肠内镜杂志（英文）

摘　　要：BACKGROUND Gastric fundoplication with endoscopic technique(GFET)is an innovative approach to managing gastroesophageal reflux disease(GERD).This minimally invasive procedure utilizes the GEN-2 Apollo endosuture device and Olympus H2T180 gastroscope to perform partial fundoplication by strategically placing Prolene 2-0 sutures at the 11,7,5,1,and 3 o’clock positions around the gastroesophageal junction.AIM To evaluate whether GFET enhances the lower esophageal sphincter function by creating comprehensive plication to improve the barrier against reflux.METHODS This single-center prospective study included patients undergoing GFET.Before beginning GFET,pH metrics and subsequent manometric measurements were obtained.An analysis of variance was performed to determine statistically significant differences between quality of life(QOL)and DeMeester scores at the time of the procedure and 6 and 12 months postoperatively.Pearson’sχ2 test was performed to identify statistically significant differences between categorical variables at the time of the procedure and 6 and 12 months postoperatively.RESULTS Eighteen participants were enrolled(11 males and 7 females;mean age,35 years).More than 70%had an initial Hill grade of IIb.One adverse event was recorded after the procedure.One patient underwent valve reinforcement at 12 months.The mean QOL score was markedly higher at the time of the procedure(39.9±4.0)compared to those at 6 and 12 months postoperatively(P<0.001).Scores at 12 months were slightly higher than those at 6 months.The highest mean QOL score was observed at the time of the procedure,followed by those at 6 and 12 months postoperatively(P<0.001).A similar trend was noted for the mean DeMeester scores(P<0.001).CONCLUSION GFET is a minimally invasive alternative to traditional surgical interventions and endoscopic techniques for managing GERD.Further research is warranted to validate its long-term efficacy and effectiveness over existing treatments.

关 键 词：Gastric fundoplication with endoscopic technique Gastroesophageal reflux disease Therapeutic endoscopy 

分 类 号：R573[医药卫生—消化系统]