A gatekeeper to hold back the tide?

December 2004
Gut;Dec2004, Vol. 53 Issue 12, p1718
Academic Journal
This article focuses on the study "Endoscopic Augmentation of the Lower Esophageal Spincter for the Treatment of Gastroesophageal Reflux Disease: Multicenter Study of the Gatekeeper Reflux Repair System," conducted by P. Fockens, M.J. Bruno, A. Gabbrielli and colleagues, published in the periodical "Endoscopy." Endoscopic methods of augmenting anti-reflux mechanisms continue to gain interest with proponents of several devices and techniques but few trials have been reported. The authors report pooled data from two prospective but non-randomized multi-center European trials of the Gatekeeper system. This involved endoscopic implantation of an inert prosthesis into the submucosa at several sites around the oesophagogastric junction with endoscopic ultrasound confirmation of correct placement.


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