Borbély, Yves Michael; Lenglinger, Johannes; Tutuian, Radu; Altmeier, Julia; Kröll, Dino; Nett, Philipp C. (2016). Electrical stimulation of the lower esophageal sphincter to treat astroesophageal reflux disease: Technique of implantation (Unpublished). In: Jahreskongress der Schweizerischen Gesellschaft für Chirurgie. Lugano.
Objective: Electrical stimulation of the lower esophageal sphincter (LES) to treat gastroesophageal
reflux disease (GERD) leads to a normalization of esophageal pH and enhanced LES pressure. It effectively
improves symptoms of GERD without the typical side effects of traditional antireflux-surgery.
Methods: Illustrated by the cases of a 54-year-old female patient with worsening GERD despite maximized
acid suppression therapy and of a 47-year-old male patient with GERD after sleeve gastrectomy,
crucial points of implantation and perioperative minutiae are shown in this video.
Results: The usual patient placement and trocar positioning for laparoscopic antireflux surgery is
used. After identification and exposure of the anterior gastroesophageal junction, the electrodes are
sewn into the esophageal wall. Extraluminal placement is secured with endoscopy. The lead electrical
connector is then pulled through the abdominal wall and attached to the pulse generator. After a first
functionality test, the generator is placed in a subcutaneous pocket. A final functionality test is followed
by initiation of treatment.
Conclusion: This standardized technique for the implantation of an electrical LES-stimulation-device
using easily reproducible steps leads to a good peri- and postoperative outcome and is the foundation
for the long-term efficacy of this method.
Item Type: |
Conference or Workshop Item (Speech) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology |
UniBE Contributor: |
Borbély, Yves Michael, Lenglinger, Johannes, Tutuian, Radu, Altmeier, Julia, Kröll, Dino, Nett, Philipp C. |
Subjects: |
600 Technology > 610 Medicine & health |
Language: |
English |
Submitter: |
Lilian Karin Smith-Wirth |
Date Deposited: |
09 May 2017 15:24 |
Last Modified: |
05 Dec 2022 15:02 |
URI: |
https://boris.unibe.ch/id/eprint/94597 |
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