Alternatywne metody endoskopowe dla klasycznej chirurgicznej fundoplikacji w leczeniu choroby refluksowej przełyku
Streszczenie
Choroba refluksowa przełyku (GERD) jest jednym z najczęstszych zaburzeń żołądkowo-jelitowych we
współczesnym świecie. Jej początek jest predysponowany przez czynniki związane ze złym stylem życia.
Leczenie GERD polega na farmakoterapii lub zabiegu chirurgicznym. Klasyczną procedurą jest fundoplikacja
Nissena. Rozwój endoskopii umożliwił zastosowanie nowych metod leczenia, które zapewniają
szybszy powrót pacjenta do zdrowia ze skutecznością porównywalną z fundoplikacją. Metody te obejmują
gastroplastykę endoskopową (TIF), procedurę Stretta (wykorzystanie energii o częstotliwości radiowej),
wstrzykiwanie polimerów wzmacniających i implantację protez lub stymulatorów antyrefluksowych.
Procedura TIF jest endoskopowym lustrzanym odbiciem fundoplikacji, a procedura Stretta ma na celu
zmniejszenie rozluźnienia dolnego zwieracza przełyku. Niektóre polimery i protezy miały obiecujące wyniki
terapeutyczne, ale zostały wycofane z powodu powikłań, podczas gdy oczekuje się, że inne będą stosowane
w przyszłości. Metody endoskopowe są stale udoskonalane na podstawie wyników badań klinicznych.
Niniejsze opracowanie ma na celu przedstawienie wybranych przykładów.
Słowa kluczowe: choroba refluksowafundoplikacjaendoskopiagastroplastkapołączenie żołądkowo-przełykowe
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