Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique
Kazuki Yamamoto, Haruhiro Inoue, Ippei Tanaka, Kei Ushikubo, Hiroki Okada, Yohei Nishikawa, Kaori Owada, Yuto Shimamura
Abstract
Antireflux mucosectomy and antireflux mucosal ablation are effective for patients with proton pump inhibitor refractory–dependent GERD,1-4 as confirmed by meta-analyses.5-7 However, these procedures have limitations, including a 3- to 4-week healing period for artificial ulcers and about a 13.0% incidence of transient strictures. Postoperative bleeding, occurring in 5% of cases, may persist despite acid-suppressing medication.4-8 To address concerns, we implemented antireflux mucoplasty (ARM-P)9 and demonstrated its effectiveness.
Topics & Concepts
CLIPSMedicineClosure (psychology)Dead spaceSpace (punctuation)SurgeryInternal medicineComputer scienceLawMechanical ventilationOperating systemPolitical scienceGastroesophageal reflux and treatmentsEsophageal Cancer Research and TreatmentGastric Cancer Management and Outcomes