TY - JOUR
T1 - Successful Endoscopic Treatment of Post-esophagectomy Refractory Reflux Using OverStitch
T2 - The First Clinical Case
AU - Nagase, Hirotsugu
AU - Yamasaki, Makoto
AU - Yanagimoto, Yoshitomo
AU - Kanemura, Takashi
AU - Higashi, Shigeyoshi
AU - Momose, Kota
AU - Kato, Ryo
AU - Miyazaki, Yasuhiro
AU - Makino, Tomoki
AU - Takahashi, Tsuyoshi
AU - Kurokawa, Yukinori
AU - Miyata, Hiroshi
AU - Takiguchi, Shuji
AU - Mori, Masaki
AU - Doki, Yuichiro
AU - Nakajima, Kiyokazu
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2018/7/2
Y1 - 2018/7/2
N2 - Aims: The reflux of duodeno-gastric contents into the remnant esophagus (gastric tube-esophageal reflux: GTER) is a significant issues in long-term esophageal cancer survivors after radical esophagectomy. We attempted endoscopic valve (funnel) creation for prevention for GTER using OverStitch endoscopic suturing system. Methods: The OverStitch was mounted onto a standard double-channel endoscope. Under general anesthesia, the funnel creation was attempted by placing semi-full thickness sutures on the gastric wall, at 3 cm distal to the primary esophago-gastric anastomosis. The postoperative outcomes were also evaluated. Results: In total, 4 sutures were needed and the operating time was 62 minutes without complication. The endoscopic and swallowing studies, as well as pH profile, were all improved postoperatively. The patient’s quality of life was dramatically improved with complete disappearance of night-time reflux in spine position. Conclusions: Endoscopic antireflux funnel creation was feasible and safe. This procedure may become a useful treatment for patients with severe GTER after esophagectomy.
AB - Aims: The reflux of duodeno-gastric contents into the remnant esophagus (gastric tube-esophageal reflux: GTER) is a significant issues in long-term esophageal cancer survivors after radical esophagectomy. We attempted endoscopic valve (funnel) creation for prevention for GTER using OverStitch endoscopic suturing system. Methods: The OverStitch was mounted onto a standard double-channel endoscope. Under general anesthesia, the funnel creation was attempted by placing semi-full thickness sutures on the gastric wall, at 3 cm distal to the primary esophago-gastric anastomosis. The postoperative outcomes were also evaluated. Results: In total, 4 sutures were needed and the operating time was 62 minutes without complication. The endoscopic and swallowing studies, as well as pH profile, were all improved postoperatively. The patient’s quality of life was dramatically improved with complete disappearance of night-time reflux in spine position. Conclusions: Endoscopic antireflux funnel creation was feasible and safe. This procedure may become a useful treatment for patients with severe GTER after esophagectomy.
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U2 - 10.1177/1179552218784946
DO - 10.1177/1179552218784946
M3 - Article
AN - SCOPUS:85055164683
SN - 1179-5522
VL - 11
JO - Clinical Medicine Insights: Gastroenterology
JF - Clinical Medicine Insights: Gastroenterology
ER -
