Stretta Di Arpaia
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Stretta Di Arpaia
Stretta is a minimally invasive endoscopic procedure for the treatment of gastroesophageal reflux disease (GERD) that delivers radiofrequency energy in the form of electromagnetic waves through electrodes at the end of a catheter to the lower esophageal sphincter (LES) and the gastric cardia – the region of the stomach just below the LES. The energy heats the tissue, ultimately causing it to swell and stiffen; the way this works was not understood as of 2015, but it was thought that perhaps the heat causes local inflammation, collagen deposition and muscular thickening of the LES and that it may disrupt the nerves there. History Its relative efficacy is controversial, with the American College of Gastroenterology recommending against its use in 2013, and in the same year the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) giving it a strong recommendation for people who refuse laparoscopic Nissen fundoplication, which involves making incisions in the torso ...
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Endoscope
An endoscope is an inspection instrument composed of image sensor, optical lens, light source and mechanical device, which is used to look deep into the body by way of openings such as the mouth or anus. A typical endoscope applies several modern technologies including optics, ergonomics, precision mechanics, electronics, and software engineering. With an endoscope, it is possible to observe lesions that cannot be detected by X-ray, making it useful in medical diagnosis. Endoscopes use tubes which are only a few millimeters thick to transfer illumination in one direction and high-resolution images in real time in the other direction, resulting in minimally invasive surgeries. It is used to examine the internal organs like the throat or esophagus. Specialized instruments are named after their target organ. Examples include the cystoscope (bladder), nephroscope (kidney), bronchoscope (bronchus), arthroscope (joints) and colonoscope (colon), and laparoscope (abdomen or pelvis). They c ...
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The American Journal Of Gastroenterology
''The American Journal of Gastroenterology'' is a peer reviewed medical journal owned by the American College of Gastroenterology. It has been published by Lippincott Williams & Wilkins since 2019 and was previously published by Nature Research Nature Portfolio (formerly known as Nature Publishing Group and Nature Research) is a division of the international scientific publishing company Springer Nature that publishes academic journals, magazines, online databases, and services in scien ..., Blackwell and (before 2004) Elsevier. References External links * English-language journals Gastroenterology and hepatology journals Monthly journals Lippincott Williams & Wilkins academic journals Publications established in 1934 Academic journals associated with learned and professional societies of the United States {{med-journal-stub ...
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Literature Review
A literature review is an overview of the previously published works on a topic. The term can refer to a full scholarly paper or a section of a scholarly work such as a book, or an article. Either way, a literature review is supposed to provide the researcher/author and the audiences with a general image of the existing knowledge on the topic under question. A good literature review can ensure that a proper research question has been asked and a proper theoretical framework and/or research methodology have been chosen. To be precise, a literature review serves to situate the current study within the body of the relevant literature and to provide context for the reader. In such case, the review usually precedes the methodology and results sections of the work. Producing a literature review is often a part of graduate and post-graduate student work, including in the preparation of a thesis, dissertation, or a journal article. Literature reviews are also common in a research propo ...
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Clinical Gastroenterology And Hepatology
''Clinical Gastroenterology and Hepatology'' is a monthly peer-reviewed medical journal published by Elsevier on behalf of the American Gastroenterological Association. It was established in January 2003. According to the ''Journal Citation Reports'', the journal has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 11.382. References External links * Elsevier academic journals Gastroenterology and hepatology journals Publications established in 2003 Monthly journals English-language journals {{med-journal-stub ...
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Journal Of Clinical Gastroenterology
''Journal of Clinical Gastroenterology'' is a peer reviewed medical journal covering gastroenterology and hepatology, published by Lippincott Williams & Wilkins. It was established in 1979 and the current editor-in-chief is Ronnie Fass, MD (Case Western Reserve University School of Medicine). Abstracting and indexing The journal is abstracted and indexed in: * Science Citation Index * Current Contents/Clinical Medicine * Index Medicus/MEDLINE/PubMed According to the ''Journal Citation Reports'', the journal has a 2013 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 3.186. References External links * {{Official website, http://journals.lww.com/jcge/pages/default.aspx Gastroenterology and hepatology journals Lippincott Williams & Wilkins academic journa ...
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Proton-pump Inhibitors
Proton-pump inhibitors (PPIs) are a class of medications that cause a profound and prolonged reduction of stomach acid production. They do so by irreversibly inhibiting the stomach's H+/K+ ATPase proton pump. They are the most potent inhibitors of acid secretion available. Proton-pump inhibitors have largely superseded the H2-receptor antagonists, a group of medications with similar effects but a different mode of action, and antacids. PPIs are among the most widely sold medications in the world. The class of proton-pump inhibitor medications is on the World Health Organization's List of Essential Medicines. Omeprazole is the specific listed example. Medical uses These medications are used in the treatment of many conditions, such as: * Dyspepsia * Peptic ulcer disease including after endoscopic treatment for bleeding * As part of ''Helicobacter pylori'' eradication therapy * Gastroesophageal reflux disease (GERD or GORD) including symptomatic endoscopy-negative reflux disea ...
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Gastrointestinal Endoscopy
''Gastrointestinal Endoscopy'' is a monthly peer-reviewed medical journal covering gastroenterology, especially as relating to endoscopy. It is published by Elsevier and the official publication of the American Society for Gastrointestinal Endoscopy. The editor-in-chief is Douglas G. Adler, MD, FASGE. History The journal was established as the ''Bulletin of the American Gastroscopic Society'', was continued as the ''Bulletin of Gastroscopy and Esophagoscopy'' from 1959 to 1961, then as the ''Bulletin of Gastrointestinal Endoscopy'' until 1965 when it obtained its current name. Abstracting and indexing The journal is abstracted and indexed in Index Medicus/MEDLINE/PubMed, Current Contents/Clinical Medicine, Current Contents/Life Sciences, Science Citation Index, Embase, and Scopus. According to the ''Journal Citation Reports'', the journal has a 2021 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculate ...
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Transoral Incisionless Fundoplication
Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of gastroesophageal reflux disease (GERD). The TIF procedure, similar to Nissen fundoplication, alleviates GERD symptoms by wrapping a portion of the stomach around the esophagus. The TIF procedure, unlike laparoscopic fundoplication, does not require surgical incisions. Instead a surgical device (called the EsophyX) is inserted into the mouth, passed through the throat, and into the stomach. An endoscope is utilized to perform the procedure. A minority of individuals who undergo the TIF procedure also require a hiatal hernia repair operation. The procedure is performed while the person is under general anesthesia and is typically an outpatient procedure. Medical use Transoral incisionless fundoplication may improve symptoms in gastroesophageal reflux disease, at least in the short term. Benefits from the TIF procedure may last for up to 6 years. Complications The risk of severe co ...
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American Society For Gastrointestinal Endoscopy
The American Society for Gastrointestinal Endoscopy (ASGE) is a professional organization of physicians dedicated to improving endoscopy. The ASGE is made up largely of gastroenterologists from the United States. Included in its membership are endoscopists from other medical specialties as well as from other countries. ASGE publishes the medical journal ''Gastrointestinal Endoscopy''. "The core purpose of the American Society for Gastrointestinal Endoscopy is to be the leader in advancing and promoting excellence in gastrointestinal endoscopy." History American Society for Gastrointestinal Endoscopy was founded on December 30, 1941. Established as the American Gastroscopic Society, the organization changed its name in 1961 to the "American Society for Gastrointestinal Endoscopy." As of 2017, the budget for ASGE was about $17.8 million. Services American Society for Gastrointestinal Endoscopy sponsors grants for research in gastroenterology and endoscopy. Goals *ASGE will be rec ...
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Surgical Endoscopy
''Surgical Endoscopy'' is a peer-reviewed medical journal published by Springer Science+Business Media. It is the official journal of the Society of American Gastrointestinal and Endoscopic Surgeons and the European Association for Endoscopic Surgery. ''Surgical Endoscopy'' covers the surgical aspects of interventional endoscopy, ultrasound, and other techniques in gastroenterology, obstetrics, gynecology, and urology. Also, the fields of gastroenterologic, thoracic, traumatic, orthopedic, and pediatric surgery are represented. The journal has a 2016 impact factor of 3.747. The editors-in-chief are George Hanna (St Mary's Hospital) and Mark Talamini (Stony Brook University Stony Brook University (SBU), officially the State University of New York at Stony Brook, is a public research university in Stony Brook, New York. Along with the University at Buffalo, it is one of the State University of New York system's ...). Editors emeriti include Alfred Cuschieri, Kimberly Forde ...
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Nissen Fundoplication
A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180–200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes. History Dr. Rudolph Nissen (1896–1981) first performed the procedure in 1955 and published the results of two cases in a 1956 ''Swiss Medical Weekly''. In 1961 he published a more detailed overview of the procedure. Nissen originally called the surgery "gastroplication". The procedure has borne his name since it gained popula ...
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Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) or gastro-oesophageal reflux disease (GORD) is one of the upper gastrointestinal chronic diseases where stomach content persistently and regularly flows up into the esophagus, resulting in symptoms and/or complications. Symptoms include dental corrosion, dysphagia, heartburn, odynophagia, regurgitation, non-cardiac chest pain, extraesophageal symptoms such as chronic cough, hoarseness, reflux-induced laryngitis, or asthma. On the long term, and when not treated, complications such as esophagitis, esophageal stricture, and Barrett's esophagus may arise. Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications. Medications that may cause or worsen the disease include benzodiazepines, calcium channel blockers, tricyclic antidepressants, NSAIDs, and certain asthma medicines. Acid reflux is due to poor closure of the lower esophageal sphincter, which is at the junction between the stomach and the esoph ...
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