Argon Plasma Coagulation of Gastric Inlet Patches for the Treatment of Globus Sensation: It Is an Effective Therapy in the Long Term
| العنوان: | Argon Plasma Coagulation of Gastric Inlet Patches for the Treatment of Globus Sensation: It Is an Effective Therapy in the Long Term |
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| المؤلفون: | Peter Klare, B. Konukiewitz, A. Meining, S von Delius, Monther Bajbouj, RM Schmid, Petra Wolf |
| المصدر: | Digestion. 88:165-171 |
| بيانات النشر: | S. Karger AG, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Visual analogue scale, medicine.medical_treatment, Argon plasma coagulation, Esophageal Diseases, Young Adult, Esophagus, Sensation, Gastric mucosa, medicine, Humans, Endoscopy, Digestive System, Globus sensation, Inlet patches, Long-term outcome, Reflux, Aged, Argon Plasma Coagulation, medicine.diagnostic_test, business.industry, Gastroenterology, Retrospective cohort study, Middle Aged, Ablation, ddc, Surgery, Endoscopy, Treatment Outcome, medicine.anatomical_structure, Gastric Mucosa, Female, business, Follow-Up Studies |
| الوصف: | Aim: To determine the long-term effect of argon plasma coagulation (APC) of gastric inlet patches in the cervical esophagus for patients suffering from globus sensation. Methods: We intended to follow up all patients between 2004 and 2011 (n = 49) who received argon plasma ablation of gastric inlet patches for globus sensation at our clinic. Symptoms were assessed by a visual analogue scale (VAS) in 31 of 49 patients. Follow-up endoscopy of the upper gastrointestinal tract was performed to confirm residual or relapsed cervical inlet patches. Results: After a median period of 27 months, APC was assessed as a successful therapy in 23 of 31 patients (74%). VAS scores decreased significantly from 7.6 to 4.0 in the long term. Twenty-two of 31 patients were willing to undergo follow-up endoscopy. Endoscopy revealed recurrent/residual gastric inlet patches after APC in 11 of 22 cases. These patients suffered from a significant relapse of symptoms in the postinterventional period (p < 0.001). Conclusion: This retrospective study indicates that APC of gastric inlet patches for the treatment of globus sensation might be a sufficient therapy option. Recurrences or residual heterotopic gastric mucosa are possible and seem to be associated with a relapse of symptoms. Therefore, endoscopic follow-up and retreatment might be necessary if globus sensation is not sufficiently eliminated. |
| وصف الملف: | application/pdf |
| تدمد: | 1421-9867 0012-2823 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::838a9ac90103755c85462050c9f00463Test https://doi.org/10.1159/000355274Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....838a9ac90103755c85462050c9f00463 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14219867 00122823 |
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