Comprehensive Overview of Medical Devices and Surgical Advances of...

Comprehensive Overview of Medical Devices and Surgical Advances of Gastroesophageal Reflux Disease Treatment

Posted 2024-02-05 10:15:44

Gastroesophageal reflux disease (GERD), also known as acid reflux, is a common condition where stomach contents and acids rise into the esophagus. Left untreated, GERD can significantly impact quality of life and potentially lead to more serious complications. Traditional treatment approaches often involve lifestyle changes and medications, but for those who do not get adequate relief, there are now various medical device options available as well. This article will explore some of the leading gastroesophageal reflux disease treatment devices on the market today.

Unlike the endoscopic therapies above which aim to fortify existing anatomical structures, antireflux valves work by creating a new barrier specifically designed to prevent reflux of gastric contents into the esophagus. The EndoGastro Intestinal Bravo Reflux Management System uses a small, collapsible silicone membrane anchored within the esophagus via a catheter-deployed stent-like framework. When closed, the valve acts as a one-way barrier, but is easily opened with swallowing to allow normal food passage. Early research found Bravo significantly improved reflux parameters and symptoms in the majority of patients. Its durability and risk of issues like migration require further study, however.

Patients dissatisfied with existing Gastroesophageal Reflux Disease Treatment Devices treatment options may also consider the Transoral Incisionless Fundoplication—EsophyX2 device. This second generation TIF system deploys an implant made of braided polyester sutures to create a "fundoplication-like" structure. Published data on over 1,000 patients shows good symptomatic relief rates at one year, comparable to fundoplication surgery but with less risk of side effects. Larger long-term studies are ongoing to further characterize outcomes compared to alternative therapies.

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