EsophyX ELF treatment (ab medica)

La chirurgia mininvasiva si concentra su operazioni condotte dall'esterno ed eseguite senza ferite.

by Repici A., Rosati R., Barbera R., Istituto Humanitas, Milano, Italy

A 47 yrs old female, with a long history of dyspepsia, was seen in our outpatient clinic. The
main symptoms were chest pain during meals and at bedtime resulting in several upper G-I
endoscopies performed, revealing a hiatus hernia and distal esophagitis. On a high dose of PPI
(80 mg/day esomeprazole) symptoms were well controlled, with a prompt relapse when discontinued.
The patient is a non-smoker, very thin woman (BMI 19), not pregnant and no major diseases in her medical history.
An endoluminal fundoplication technique (ELF), was proposed to the patient . The patient fulfilled the inclusion criteria and was enrolled in our study and into the REFER registry.
An upper gut endoscopy was performed off of PPI for 15 days and revealed a Grade B esophagitis (Los Angeles classification) and a 1 cm long hiatus hernia. These findings were confirmed with a barium esophageal transit. A stationary esophageal manometry was performed (normal LES pressure and valid, coordinated esophageal peristalsis) followed by a MII-pH/24 hr recording (Table 1). This test revealed a severe eso phageal reflux. The GERD HRQL score was 51 (nv < 20).

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SPECIALISTI

ab medica segue i professionisti della Radiochirurgia fornendo il meglio delle tecnologie esistenti.

case study

EsophyX ELF treatment
by Repici A., Rosati R., Barbera R., Istituto Humanitas, Milano, Italy A 47 yrs old female, with a long history of dyspepsia, was seen in our outpatient clinic. The main symptoms were chest pain during meals and at bedtime resulting...

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Pazienti

Chirurgia mininvasiva