Spaniolas Konstantinos, Rothstein Richard I, Trus Thadeus L
Section of General Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03766, USA.
Case Rep Med. 2013;2013:280628. doi: 10.1155/2013/280628. Epub 2013 May 13.
Gastroesophageal reflux disease (GERD) is a common entity in the United States. Surgical fundoplication can be performed safely with well-established long-term results. In selected patients with GERD, endoluminal therapy has a potential role. We report on a patient with recurrent GERD after two prior fundoplications who wished to pursue endoscopic treatment. The presence of a gastrostomy tube allowed for the performance of a transgastric-assisted endoluminal fundoplication using the EndoCinch (TM) device and standard pediatric laparoscopic instruments. Symptomatic relief of GERD with EndoCinch (TM) is common but the long-term outcomes are limited. Nevertheless, the EndoCinch (TM) device remains a method for endoscopic suturing in certain settings. In patients with gastrostomy access, the use of laparoscopic instruments may further enable the performance of advanced endoscopic therapies.
胃食管反流病（GERD）在美国是一种常见病症。手术性胃底折叠术能够安全实施，且长期效果良好。对于部分特定的胃食管反流病患者，腔内治疗具有潜在作用。我们报告了一名患者，其在之前接受过两次胃底折叠术后仍出现复发性胃食管反流病，希望接受内镜治疗。由于存在胃造瘘管，可使用EndoCinch（TM）装置及标准小儿腹腔镜器械进行经胃辅助腔内胃底折叠术。使用EndoCinch（TM）装置后，胃食管反流病症状通常会缓解，但长期效果有限。尽管如此，在某些情况下，EndoCinch（TM）装置仍是一种内镜缝合方法。对于有胃造瘘通道的患者，使用腹腔镜器械可能进一步有助于实施先进的内镜治疗。
