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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2004

01-05-2004 | Original article

Laparoscopic Nissen fundoplication after failure of Enteryx injection into the lower esophageal sphincter

Authors: I. El Nakadi, J. Closset, V. De Moor, E. Coppens, M. Zalcman, J. Devière, M. Gelin

Published in: Surgical Endoscopy | Issue 5/2004

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Abstract

Background

We investigated the feasibility, safety, and efficacy of laparoscopic antireflux surgery (LARS) after failure of Enteryx injection in the lower esophageal sphincter for the treatment of gastroesophageal reflux disease (GERD).

Methods

Four patients underwent LARS after failure of Enteryx injection. Particular care was taken during the procedure to identify unusual material or fibrosis.

Results

All patients underwent LARS successfully. In three patients, tight adhesions with fibrous tissues and black foreign material were observed around the esophagus. No complications occurred during the procedures. The postoperative period was uneventful and functional results were excellent.

Conclusion

LARS following Enteryx injection is feasible. Careful dissection is mandatory to avoid operative complications. Both techniques may be considered as options for treating GERD.
Literature
1.
ASGE2002Endoscopic anti-reflux procedures.Gastrointest Endosc56625628
2.
Devière, J, Pastorelli, A, Louis, H, Maertelaer, V, Lehman, G, Cicala, M, Moine, O, Silverman, D, Costamagna, G 2002Endoscopic implantation of biopolymer in the lower esophageal sphincter for gastroesophageal reflux: a pilot study.Gastointest Endosc55335341CrossRef
3.
Mason, RJ, Hughes, M, Lehman, GA, Chiao, G, Devière, J, Silverman, DE, DeMeester, TR, Peters, JH 2002Endoscopic augmentation of the cardia with a biocompatible injectable polymer (Enteryx) in a porcine model.Surg Endosc16386391CrossRefPubMed
4.
O’Connor, KW, Madison, ST, Smith, DJ, Ransburg, RC, Lehman, GA 1984An experimental endoscopic technique for reversing gastroesophageal reflux in dogs by injecting inert material in the distal esophagus.Gastrointest Endosc30275280PubMed
Metadata
Title
Laparoscopic Nissen fundoplication after failure of Enteryx injection into the lower esophageal sphincter
Authors
I. El Nakadi
J. Closset
V. De Moor
E. Coppens
M. Zalcman
J. Devière
M. Gelin
Publication date
01-05-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9189-3

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