Electrical stimulation of the lower esophageal sphincter to treat astroesophageal reflux disease: Technique of implantation

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stimulation of the lower esophageal sphincter to treat astroesophageal reflux disease: Technique of implantation (Unpublished).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 and 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:

19 Jun 2017 08:56

URI:

https://boris.unibe.ch/id/eprint/94597

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