Post written by William King, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA. This patient had a history of lung transplant for pulmonary sarcoidosis and a Toupet fundoplication for severe GERD. His Toupet wrap became loose and slipped into a small hiatal hernia, resulting in severe reflux and recurrent episodes …
Tag: GERD
Revision of failed Nissen fundoplication using combined antireflux mucosal ablation and endoscopic full-thickness fundoplasty
Post written by Wasseem Skef, MD, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA, and Jasmine Haydel, MD, from the Department of Medicine, Baylor College of Medicine. We performed a hybrid endoscopic procedure of antireflux mucosal ablation and fundoplasty using endoscopic suturing …
Handmade snare-assisted endoscope tip-bending angulation booster
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Department of Medicine, Section of Gastroenterology, Makati Medical Center, Makati, Philippines. Endoscopic interventions require precise control of the endoscope tip. Inadequate …
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Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
Continue reading Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Antireflux mucosectomy as an effective treatment for GERD after laparoscopic sleeve gastrectomy
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. To our knowledge, this study reports the first instance of antireflux mucosectomy (ARMS) successfully treating GERD after laparoscopic sleeve gastrectomy (LSG). Although LSG is the most common bariatric procedure, accounting for up to 60% of global cases, it also …
Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study features the dead space—eliminating technique (DET) as a novel closure method during antireflux mucoplasty (ARM-P) for proton pump inhibitor refractory—dependent GERD. Other techniques such as antireflux mucosectomy and antireflux mucosal ablation have shown effectiveness in meta-analyses, …
Antireflux mucoplasty, an evolution of endoscopic antireflux therapy for refractory GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study introduces a novel therapeutic approach known as antireflux mucoplasty (ARM-P) to tackle the challenges associated with proton pump inhibitor (PPI)—refractory GERD. Previously, we pioneered 2 techniques, antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA), which …
Antireflux band mucosectomy: a novel minimally invasive approach for the treatment of refractory gastroesophageal reflux disease
Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, USA, and Jose Nieto, DO, from the Borland Groover Clinic, Jacksonville, Florida, USA. In this video, we present a case series of 4 patients who underwent a novel endoscopic therapy for the treatment of refractory …
POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment
Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …
Safety and efficacy of peroral endoscopic myotomy with standard myotomy versus short myotomy for treatment-naïve patients with type II achalasia
Post written by Deliang Liu, MD, PhD, from the Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, China. The study focus on comparing the outcomes between standard myotomy versus short myotomy for the management of treatment-naïve patients with type II achalasia. Numerous studies demonstrated that POEM was a safe and effective …
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