reflux

Reflux




It is retreating of diet consumed from stomach to esophagus due to leakage or insufficiency of the lower esophageal sphincter. Risk factors: hiatal hernia, obesity, low voltage of lower esophageal sphincter, fatty foods, wine, spicy spices, sudden changes in body position, Zollinger-Ellison syndrome. The diagnosis for this disease: contrast X-ray, upper gastrointestinal tract endoscopy, pH-metry, manometry, omeprazole test . Untreated may lead to series of severe complications (gastrointestinal bleeding, adenocarcinoma).


Types



a) GERD (gastroesophageal reflux) - a group of clinical symptoms and / or changes in the esophageal mucosa which are caused by recurrent episodes of getting the gastric contents into the esophagus (endoscopic should be confirmed);

b) NERD (non erosive reflux disease) - 24 h pH-metry shows regurgitation into the esophagus, but there are no visible symptoms in endoscopy.
Symptoms - esophageal symptoms (heartburn, retrosternal pain), associated with organ failure (esophagitis, Barrett's esophagus, adenocarcinoma) and others (cough, hoarseness, asthma, dental caries, chronic laryngitis). Quality of life is reduced due to complaints.


Treatment




Is several stages (depending on the severity of symptoms):

a) modification of lifestyle - avoiding stimulants (coffee, alcohol), reduction of body weight, regular consumption of meals;

b) pharmacotherapy - used proton pump inhibitors, antacids;

c) the operation - usually performed by laparoscopic Nissen fundoplication.


Other types of reflux



a) bile reflux into the stomach (pyloric sphincter insufficiency); ulcers may occur;

b) vesico-ureteral reflux - here is the reverse flow of urine from the bladder and ureters to the kidneys, can lead to serious complications;

c) reflux of duodeno-gastro-oesophageal reflux - regurgitation of duodenal contents into the stomach and esophagus;
d) laryngo-pharyngeal reflux - stomach contents move to the larynx, pharynx, sinuses, oral cavity, nasopharynx, middle ear.

Tags

achalasia Adenocarcinoma adenoma banding bleeding cancer carcinoma cataract cataract surgery colon colonoscopy duodenum echocardiography endoscopy esophagus gastroscopy GIST Histopathology laparoscopy laryngology oncology polyp polypectomy rectum stomach stromal surgery TUMOR ulcer varices
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Reconstruction After Pancreatoduodenal Resection...

Andrew Shcuryac

Control endoscopy after PDR Whipple type whith: gastroentero- and enteroenterostomy. Essential reflux gastritis is observed, but stomies are permeable whithout inflamation and stenosis (courtesly of prof....

views: 884 comments: 0

How to do a Laparoscopic Gastric Plication...

Dr. Nagi Safa

Dr Nagi Safa is sharing his experience in Laparoscopic Gastric Plication Surgery (LGCP). In this video, Dr Safa is performing a gastric plication with anti reflux procedure, as one day surgery. The patient...

views: 419 comments: 0

Laparoscopic Closure Of Large Hiatal Defect

Society of American Gastrointestinal and Endoscopic Surgeons

Medialization of the right crus of diaphragm for closure of large hiatal defects. Video by Chet Royals MD,Bestoun Ahmed MD,Ziad Awad MD.

views: 1703 comments: 0

Lecture: Treatment For GERD, Barrett's and...

Society of American Gastrointestinal and Endoscopic Surgeons

Video is a lecture about usefulness of endoscopy in gastric reflux (GERD), Barret's esophagus and bariatric surgery. Presented by W. Scott Melvin, M.D.

views: 2997 comments: 0

Laparoscopic Nissen Fundoplication for GERD

Ahmed Shoukry Hafez

Surgery for reflux is relatively simple but the technique includes a lot of small details. We present a very detailed video for the anatomy and technique of nissen fundoplication for GERD.

views: 1093 comments: 0

GERD Treatment - LINX Procedure

Department of Surgery - University of Southern California

At present, GERD may be treated using the new method - the LINX device. This mini-invasive procedure assists in preventing a reflux using the force of magnetic beads, making the lower esophageal sphincter...

views: 3559 comments: 0

Gastroesophageal Reflux Disease (GERD) -...

Department of Surgery - University of Southern California

A new technique, that brings the week lower esophageal sphincter back to it's normal functionality is called the LINX. Many of magnetic beads are connected by titanium links allowing the beads to open...

views: 3423 comments: 0

Laparoscopic Nissen Fundoplication

Rossen Tushev

Type I hiatal hernia and gastroesophageal reflux disease.

views: 608 comments: 0

Laparoscopic Nissen Fundoplication (GERD)

Rossen Tushev

This video presents laparoscopic Nissen Fundoplication for GERD (Gastroesophageal Reflux Disease) treatment.

views: 1066 comments: 0

Robotic and Endoluminal Management of Gastroesophogeal...

Clinical Robotic Surgery Association

 In this video you can see a presentation on robotic and endoluminal management of gastroesophogeal reflux disease.

views: 748 comments: 0

Esophyx TIF 2 Procedure

Christos Karalis

The Esophyx TIF 2 device is widely used in gastroesophageal reflux disease or slight hiatal hernia treatment. Fully ambulatory management is its great advantage. Almost 80% of patient can push away their...

views: 2228 comments: 0

Post Fundoplication Endoscopic Examination...

Gastroenterology Atlas

Laparoscopic antireflux surgery is a minimally invasive approach to correct GERD. Most commonly a laparoscopic Nissen fundoplication is performed. In this procedure the weakened lower esophageal sphincter...

views: 1583 comments: 0

Reflux Esophagitis and Adenocarcinoma of...

Gastroenterology Atlas

Biopsy revealed the lesion to be adenocarcinoma

views: 854 comments: 0

Reflux Esophagitis and Adenocarcinoma of...

Gastroenterology Atlas

An ulcerated obstructed neoplasia is seen at the gastric antrum. This 56 year- old male, who presented with early satiety and postprandial vomiting, suggestive of gastric outlet obstruction, along...

views: 905 comments: 0

Reflux Esophagitis and Adenocarcinoma of...

Gastroenterology Atlas

In this endoscopic sequence a reflux esophagitis is observed due to an obstructed gastric cancer of the antrum

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Gastric Adenocarcinoma - Biliary Reflux...

Gastroenterology Atlas

Carcinoma of the antrum causing high grade stenosis. Biliar reflux is observed that covers the necrosis.

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Intraluminal Endoscopic Suturing - Follow...

Gastroenterology Atlas

A follow up one year after. Retroflexed maneuver.

views: 974 comments: 0

Intraluminal Endoscopic Suturing - Nodule...

Gastroenterology Atlas

In this image we can appreciate the nodule with some foreign body reaction to the nylon thread. This seems to facilitate the development of the fibrosis and increase the resistance of the sphincter....

views: 736 comments: 0

Intraluminal Endoscopic Suturing - Retroflexev...

Gastroenterology Atlas

In this retroflexed image are observed two nodules of the endoscopic gastroplicature.

views: 672 comments: 0

Intraluminal Endoscopic Suturing - Retroflexev...

Gastroenterology Atlas

Retroflexed image, where two nodules can be seen. These nodules were formed with the junction of the tissues, Besides, an inflammatory reaction is observed, due to foreign body reaction to the nylon...

views: 700 comments: 0

Intraluminal Endoscopic Suturing - Presence...

Gastroenterology Atlas

The image and the video clip display two nodules as results of previously endoluminal gastroplicature six months ago. Two clips of titanium are observed.

views: 849 comments: 0

Intraluminal Endoscopic Suturing - A Follow...

Gastroenterology Atlas

Transoral Endoluminal Gastroplications. A follow up after six months. We practiced two endoscopicEndoluminal Gastroplications. She has been our first patient with this new endoscopic suturing method....

views: 930 comments: 0

Intraluminal Endoscopic Suturing - Endoscopic...

Gastroenterology Atlas

Retroflexed image of the gastric fundus the final status of this procedure.

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Intraluminal Endoscopic Suturing - Assessment...

Gastroenterology Atlas

Another appreciation of the endoluminal gastroplicature.

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Intraluminal Endoscopic Suturing - Assessment...

Gastroenterology Atlas

This image and the video clip display the first intraluminal gastroplicature.

views: 791 comments: 0

Intraluminal Endoscopic Suturing - Creation...

Gastroenterology Atlas

In the image and the video clip you can see the placement of the titanium clip through the clamp performing the first gastroplicature in this patient.

views: 889 comments: 0

Intraluminal Endoscopic Suturing - Visualization...

Gastroenterology Atlas

The threads are observed which approaching the tissues.

views: 1133 comments: 0

Intraluminal Endoscopic Suturing - Assessment...

Gastroenterology Atlas

Endoscopic suturing causes modest but significant improvement in LES function. First, there is a significant reduction in the triggering of transient LES relaxations (tLESRs) and second, there is a...

views: 845 comments: 0

Intraluminal Endoscopic Suturing - 62 Years-Old...

Gastroenterology Atlas

A 62 year-old female who has been presenting gastroesophageal reflux for 8 years. A hernia of the hiatus with an extended defect is observed which affects the closing mechanism and contributes to...

views: 799 comments: 0

Flexible Endoscopic Suturing - Presence...

Gastroenterology Atlas

The knot is observed, the threads and the titanium clip The first stich is finish of this form increase the pressure of the inferior gastroesophageal sphincter, this procedure is simple, two to four...

views: 777 comments: 0

Flexible Endoscopic Suturing - Withdrawal...

Gastroenterology Atlas

In this step this clamp is withdrawn, the hole of the clamp is observed where the titanium knot is applied and the threads are cut, also this clamp is equipped to cut threads.

views: 694 comments: 0

Flexible Endoscopic Suturing - Performing...

Gastroenterology Atlas

The next step is to perform the knot. The titanium knot mechanically fastens suture together and cuts away excess suture. And those threads position close to the mouth and out from the patient are...

views: 652 comments: 0

Flexible Endoscopic Suturing - Visualization...

Gastroenterology Atlas

The image and the video are displaying both threads that were observed as four, This happened because they were tractioned outwards. In the image show two threads that previously were four, but after...

views: 833 comments: 0

Flexible Endoscopic Suturing - Converting...

Gastroenterology Atlas

We look the 4 threads that convert to two with applied traction that is direct out and both tissues gathered together.

views: 693 comments: 0

Flexible Endoscopic Suturing - Preparing...

Gastroenterology Atlas

We prepared the second suture one centimeter away from the first one. In the image observed the process after the tissue which we deliver one suture, with this device. We observed the threads through...

views: 716 comments: 0

Flexible Endoscopic Suturing - Loosing the...

Gastroenterology Atlas

The image and the video clip display to loosen the tissues, certain maneuvers are observed, we prepared the second suture one centimeter away from the first one. In the image observed the process after...

views: 936 comments: 0

Flexible Endoscopic Suturing Device, Part...

Gastroenterology Atlas

The ESD Flexible Endoscopic Suturing device. It uses the same principal of tightening the junction between the esophagus and the stomach by the placement of sutures. This device has been approved by...

views: 930 comments: 0

Flexible Endoscopic Suturing Device, Part...

Gastroenterology Atlas

Suturing System and standard video endoscopy, sutures are placed in the upper part of the stomach at or just below the LES. Two stitches can be placed and tied together to create a pleat near the...

views: 794 comments: 0

Flexible Endoscopic Suturing - 35 Years-Old...

Gastroenterology Atlas

Endoscopic Suturing due to chronic gastroesophageal reflux. The image and the video display a retroflexed hiatal hernia. A 35 year-old male, who has been suffering of suffering refracting Gastro Esophageal...

views: 905 comments: 0

Flexible Endoscopic Suturing - Final Stage...

Gastroenterology Atlas

Final statust of the endoscopic gastroplicature. Patient relief the symptoms. Plication of the gastroesophageal junction by endoscopic suturing has been reported to improve symptoms and reduce acid...

views: 886 comments: 0

Flexible Endoscopic Suturing - End of The...

Gastroenterology Atlas

The gastroplication has been completed. Plication techniques create a mechanical barrier to reflux through apposition of 2 mucosal surfaces at the gastroesophageal junction or in the cardia. The mechanisms...

views: 1172 comments: 0

Flexible Endoscopic Suturing - Placement...

Gastroenterology Atlas

The flexible Ti-Knot Device has been placed the titanium clip performing the knot.

views: 871 comments: 0

Flexible Endoscopic Suturing - Traction

Gastroenterology Atlas

The image and the video clip display the traction exerted by the treads that tied the tissues.

views: 771 comments: 0

Flexible Endoscopic Suturing - Image of...

Gastroenterology Atlas

4 treads are observed after traction is performed, they will become in 2, after that a titanium clip will be placed to perform the knot.

views: 771 comments: 0

Flexible Endoscopic Suturing - Sew-Right...

Gastroenterology Atlas

The video clip displays the flexible Sew-Right Device has been released the tissues (the suction is turned off) with gently movements is withdrawing.

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Flexible Endoscopic Suturing - Suctioning

Gastroenterology Atlas

A clamp with threads is suctioning the gastroesophageal junction.

views: 750 comments: 0

Flexible Endoscopic Suturing - Endoscopic...

Gastroenterology Atlas

Endoscopic Anti-Reflux Procedure. The image and the video a flexible device with treads is shown, the tip of flexible endoscopic (flexible Sew-Right Device)

views: 881 comments: 0