EndoGastric开发出无需切开治疗GERD新方法

 
来自比利时布鲁塞尔大学的Guy-Bernard教授最近操作了第一例治疗严重胃食管返流疾病(GERD)的跨口腔、无需切割的内腔胃底折术。

Cadiere教授说：“GERD是一种严重疾病，每周返流超过3次或者每年超过20次，癌症发生可能性增加20倍。” 大约10%的慢性GERD患者出现癌前病变、Barrett食道，10%的病例会进展成为癌症。”

这种新手术从口腔将工具插入胃部，重建胃食道瓣膜，防止胃内容物返流入食道和咽喉。迄今为止，使用这种新设备和手术方案已经成功治疗了7例患者。目前，除了经腹部切开手术处理胃和食道之外，没有有效地治疗GERD 的方法。这种新的手术方法是由EndoGastric公司(EG, Redmond, WA, USA)开发成功的。

根据Cadiere医生的说法，其他公司已经尝试开发微创内窥镜方法来治疗GERD，但是这些公司的产品表现并不如人意，因为并没有改善胃食道瓣膜的性能成为防止返流的屏障。

EG公司的首席医疗官Stefan Kraemer博士补充说：“最重要的事情是我们正在使用已经得到证实的技术和方法，例如对胃食道瓣膜的处理，在手术过程中，无需切开腹壁。”

Incision-Free Procedure for GERD
 
The first trans-oral, incision-free endoluminal fundoplication procedure for treating severe gastroesophageal reflux disease (GERD) was recently performed by Prof. Guy-Bernard Cadiere from the University of Brussels (Belgium).

“GERD is a serious disease and reflux more than three times a week or more than 20 times a year makes cancer 15 times more likely,” observed Prof. Cadiere. “About 10% of individuals with chronic GERD develop a precancerous condition, Barrett’s esophagus, and 10% of these progress to cancer.”

The new procedure involves inserting a device through the mouth and into the stomach to access and reconstruct the gastroesophageal valve, thereby preventing reflux of stomach contents into the esophagus and throat. To date, seven patients have been successfully treated with the new device and procedure. Currently, there are no effective methods of curing GERD without abdominal incisions and surgical manipulation of the stomach and esophagus. The new procedure was developed by EndoGastric Solutions, Inc. (EG, Redmond, WA, USA).

Other companies have tried to develop minimally invasive endoscopic approaches to GERD but none of their products worked very well because they did not increase the competence of the gastroesophageal valve and anti-reflex barrier, according to Dr. Cadiere.

“The important thing is that we are using proven techniques and methodologies, such as the manipulations of the gastroesophageal valve as they are performed during surgery, without cutting through the abdominal wall,” added Dr. Stefan Kraemer, chief medical officer of EG Solutions.