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DOI: 10.1055/s-2003-41824
Neue endoskopische Therapieverfahren bei gastroösophagealer Refluxkrankheit
New Endoscopic Therapies for Gastroesophageal Reflux DiseasePublication History
Manuskript-Eingang: 23. Oktober 2002
Annahme nach Revision: 11. Februar 2003
Publication Date:
17 September 2003 (online)
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Zusammenfassung
Die bisherige, ständig wachsende Datenlage zu den neuen endoskopischen Refluxtherapieverfahren lässt hoffen, dass sich mit diesen neuen Therapiekonzepten ein Teil der Patienten mit gastroösophagealer Refluxkrankheit wirksam behandeln lässt. Allerdings ist derzeit nicht klar, welches der Verfahren sich durchsetzen wird. Randomisierte Studien zum Vergleich der Verfahren untereinander und insbesondere auch zum Vergleich gegen den bisherigen Goldstandard für die interventionelle Refluxtherapie (laparoskopische Fundoplikatio) sind erforderlich. Zudem müssen weitere Daten insbesondere die Langzeiteffektivität dieser neuen Therapieformen belegen, bevor sie Teil der Standardtherapie werden können.
Abstract
The growing data about new endoscopic therapies for gastroesophageal reflux disease (GERD) seem to indicate that these techniques might be effective at least in a part of patients suffering from GERD. However, up to now it is not clear which technique is the best. Randomized studies comparing the different techniques with each other and especially with surgical antireflux procedures (laparoscopic fundoplicatio) are needed. In addition, more data proving the long term effectiveness of these new techniques are necessary.
Schlüsselwörter
Gastroösophageale Refluxkrankheit - Therapie - Endoskopie - ELGP - EndoCinch® - Stretta® - Enteryx® - Gatekeeper®
Key words
Gastroesophageal reflux disease - endoscopy - ELGP - EndoCinch® - Stretta® - Enteryx® - Gatekeeper®
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PD Dr. H. Messmann
III. Medizinische Klinik,
Klinikum Augsburg
Stenglinstraße 2
86156 Augsburg