Endoscopic implantation of Plexiglas (PMMA) microspheres for the treatment of GERD
Autor: | Panayotis Filalithis, Andreas J. Manouras, Apostolos Dailianas, Nickolaos Apostolidis, C. Feretis, Christos Dimopoulos, Paul Benakis, Konstantinos M. Stamou |
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Rok vydání: | 2001 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Esophageal disease business.industry Gastroenterology Reflux Urology macromolecular substances medicine.disease digestive system diseases Microsphere Surgery Endoscopy medicine.anatomical_structure Refractory Submucosa GERD medicine Radiology Nuclear Medicine and imaging Implant business |
Zdroj: | Gastrointestinal Endoscopy. 53:423-426 |
ISSN: | 0016-5107 |
DOI: | 10.1067/mge.2001.113912 |
Popis: | Background: A gelatinous implant containing polymethylmethacrylate (PMMA) beads is successfully used to augment the diminished thickness of the chorium in patients with skin defects and wrinkles. The aim of the present study was to determine whether submucosal injection of PMMA microspheres into the lower esophageal folds decreases the severity of symptoms and acid reflux in patients with GERD. Methods: Endoscopic submucosal implantation of PMMA was carried out in 10 patients with GERD who were either refractory to or dependent on proton pump inhibitors. Symptom severity score, 24-hour pH monitoring, upper GI endoscopy, and EUS were performed to evaluate the efficacy of implantation. Results: A significant decrease in the symptom severity score and mean total time with esophageal pH less than 4 was noted after the implantation of PMMA ( p Conclusions: Endoscopic implantation of PMMA into the submucosa of the lower esophageal folds may be a new method for treating GERD. Further studies are required to determine the long-term efficacy of the procedure. (Gastrointest Endosc 2001;53:423-6.) |
Databáze: | OpenAIRE |
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