Effects of prior endoluminal gastroplication on subsequent laparoscopic Nissen fundoplication

Abstract

ELGP does not alter the surgical dissection or results of a subsequent LNF.

The Stretta Procedure Versus Proton Pump Inhibitors and Laparoscopic Nissen Fundoplication in the Management of Gastroesophageal Reflux Disease: A Cost-Effectiveness Analysis

“…Peu importe les unités d'efficacité ou la mesure d'utilité employée dans la présente analyse de coûts, l'approche qui consiste à prescrire des IPP semble à privilégier. G astroesophageal reflux disease (GERD) is one of the most prevalent medical disorders in the United States, affecting 19 million people chronically (1), and generating an annual cost of $40 billion in health care expenditures (2).…”

Nissen Fundoplication after Failure of Endoluminal Fundoplication: Short-Term Results

“…5,6 The results of anti-reflux surgery in these patients have been reported by several authors. [7][8][9] The latest instrument for antireflux endoluminal fundoplication (ELF) is EsophyX (EndoGastric Solutions, Redmond, WA, USA), a novel transoral device, which was designed to endoscopically construct a partial fundoplication of 270°by attaching the fundus to the anterior and left lateral wall of the distal esophagus slightly below the esophagogastric junction through tailored delivery of multiple fasteners during a single-device insertion. The efficacy of ELF in the control of GERD is not clear: An improvement on symptoms and a relief from PPI use has been reported by others in almost 80% of patients at 6 month follow-up, but functional results are contradictory.…”

Symptomatic and objective results of laparoscopic Nissen fundoplication after failed EndoCinch gastroplication for gastro-oesophageal reflux disease

“…Two earlier studies evaluated the feasibility and symptomatic outcome of LNF after an earlier EndoCinch in small patient populations. These studies did not report the objective outcome of treatment results [6,7].…”