IMPROVING TREATMENT OUTCOMES FOR GASTROESOPHAGEAL REFLUX DISEASE

Khozhimetov D.Sh.; Akbarov F.S.; Aliboev M.R.

doi:10.5281/zenodo.10900553

IMPROVING TREATMENT OUTCOMES FOR GASTROESOPHAGEAL REFLUX DISEASE

31.03.2024 International Scientific Journal "Science and Innovation". Series D. Volume 3 Issue 3

Khozhimetov D.Sh., Akbarov F.S., Aliboev M.R.

Abstract. Risk factors for complications of GERD include older age, male gender, white race, abdominal obesity, and tobacco use. The symptoms of GERD and the symptoms of reflux esophagitis, functional dyspepsia and gastroparesis largely overlap, which creates difficulties for the management of patients. Unfortunately, in the available literature there is little data on the use of laser, and even then, they mainly relate to biopsy under the control of the esophagus with volumetric laser endomicroscopy and laser coagulation. There are studies evaluating possible endoscopic treatment of esophageal tissue with circular laser irradiation. However, the proposed photothermal therapy may be a valid endoscopic treatment method using circumferential irradiation and mechanical dilatation only for Barrett's esophagus (Tran VN, 2018; Sharma P, 2020), while a method to prevent reflux esophagitis or reduce the symptoms of inflammation is needed

Keywords: laparoscopic fundoplication, reflux esophagit, percutaneous laser treatment, epigastrium, functional dyspepsiа.

References:

1. Andreev D.N. Prospects for the treatment of gastroesophageal reflux disease / D.N. Andreev, Yu.A. Curly // Gastroenterology: adj. to the journal "Consiliummedicum". – 2013. – No. 2. – pp. 9-14. 2. Baibekov I.M., Kalish Yu.I., Ametov L.Z., Shayusupov A.R. The influence of lasers on the tissue reaction during implantation of a prolene endoprosthesis under infection conditions. Laser medicine 2008, vol. 12. - in 2 p. 45-49. 3. Grishchenko, E.B. Gastroesophageal reflux disease: modern aspects of therapy / E.B. Grishchenko // Gastroenterology: appendix. to the journal "Consiliummedicum". – 2013. – No. 2. – P. 15-19. 4. Ivashkin V.T., Maev I.V., Trukhmanov A.S. and others. Recommendations of the Russian Gastroenterological Association for the diagnosis and treatment of gastroesophageal reflux disease // Russian Journal of Gastroenterology, Hepatology, Coloproctology. - 2020. - T. 30, No. 4. - P. 70-97. 5. Jain D, Fatima S, Jain S, Singhal S. Volumetric Laser Endomicroscopy for Barrett's Esophagus - Looking at the Fine Print. J Gastrointestin Liver Dis. 2017 Sep;26(3):291-297. doi: 10.15403/jgld.2014.1121.263.jai. 6. Jeong S, Bak J, Kim SM, Kang HW. Feasibility study of endoscopic thermal coagulation with circumferential laser irradiation for treating esophageal tissue. Lasers Med Sci. 2020 Jun;35(4):893-900. doi:10.1007/s10103-019-02877-3. 7. Mosko JD, Pleskow D. Evaluation of NinePoint Medical's Nvision VLE device for gastrointestinal applications. Expert Rev Med Devices. 2017 Jul;14(7):495-503. doi: 10.1080/17434440.2017.1343142. 8. Suter MJ, Gora MJ, Lauwers GY, Arnason T, Sauk J, Gallagher KA, Kava L, Tan KM, Soomro AR, Gallagher TP, Gardecki JA, Bouma BE, Rosenberg M, Nishioka NS, Tearney GJ. Esophageal-guided biopsy with volumetric laser endomicroscopy and laser cautery marking: a pilot clinical study. Gastrointest Endosc. 2014 Jun;79(6):886-96. doi: 10.1016/j.gie.2013.11.016. 9. Swager A, Boerwinkel DF, de Bruin DM, Weusten BL, Faber DJ, Meijer SL, van Leeuwen TG, Curvers WL, Bergman JJ. Volumetric laser endomicroscopy in Barrett's esophagus: a feasibility study on histological correlation. Dis Esophagus. 2016 Aug;29(6):505-12. doi: 10.1111/dote.12371.