Abstract:
AIM:The aim of the present study was to prospectively evaluate the Stretta radiofrequency (RF) treatment for gastroesophageal reflux disease (GERD) -related respiratory symptoms over a 5-years follow-up period. METHODS:A total of 132 patients underwent the Stretta procedure between April 2007 and February 2009; 122 of the patients (92.4%) completed the 5-year follow-up. Symptom scores and PPI usage were evaluated at baseline, 6 months, 1 year, 3 years and 5 years after treatment. RESULTS:A total of 122 patients (age, 51.7 ± 13.0 years, M:F, 52: 70) were followed up for 5 years and their outcomes were analyzed. At 5 years after treatment, the symptom scores were significantly reduced (heartburn score, from 5.67 ± 1.52 to 2.41 ± 1.13; regurgitation score, from 5.43 ± 1.66 to 2.27 ± 1.33; chest pain score, from 4.45 ± 1.47 to 2.40 ± 0.88; cough score, from 6.62 ± 1.73 to 3.14 ± 1.43; and asthma score, from 6.83 ± 1.46 to 3.26 ± 1.53, P<0.001). Moreover, 56.6% of the patients were completely off PPIs. CONCLUSION:Stretta RF significantly improves the symptoms and reduces PPI usage at 5 years. Therefore, it is a viable, effective, and minimally invasive endoluminal procedure for patients with GERD-related respiratory symptoms.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Liang WT,Wu JM,Wang F,Hu ZW,Wang ZGsubject
Has Abstractpub_date
2014-10-01 00:00:00pages
293-9issue
5eissn
0026-4733issn
1827-1626pii
R06Y2014N05A0293journal_volume
69pub_type
杂志文章abstract::A particular cell-mediated immune response is tested in this work: the leukocyte adherence inhibition (L.A.I.) in the presence of organ tumor antigens. Forty-two patients suspected of having pancreatic cancer were submitted to the L.A.I. test and Ca 19.9 and TPA determination. The diagnosis of pancreatic cancer was ev...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-08-31 00:00:00
abstract::Following a brief review of the various types of local anesthesia, including a recent method using EMLA cream, the paper focuses on the different complications which arise in relation to the technique used. Treatment protocols are also analysed in relation to the toxic stage. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1992-05-15 00:00:00
abstract::Abdomen and pelvic radiation therapy, as a complement to medical and surgery therapy in malignancies, may determine acute and chronic intestinal injuries. The acute intestinal effects of ionizing radiation are the necrosis of crypt epithelial cells and the cessation of the intestinal epithelium; late radiation injury ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::The finding of incidentalomas is becoming increasingly frequent during the course of routine diagnostic tests. At the hepatic level, the preclinical diagnosis of primary tumours has enabled a growing number of patients to undergo surgery with reduced operating trauma and greater oncological radicality. The authors rep...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::Authors describe a rare case of malignant schwannoma of the omentum. The diagnosis of schwannomas is often late because of the absence of early clinical signs. Clinical, diagnostic and histopathological considerations of these neoplasias are described in this work. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Authors report on their experience about ceftriaxone in surgical prophylaxis in childhood. 30 patients have been treated, suffering from surgical diseases, either thoracic or abdominal ones, including malignancies. Ceftriaxone was administered once a day; patients received ceftriaxone only once preoperatively: Results...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-05-31 00:00:00
abstract::Pancreatic pseudocysts are a rare pathology in pancreas diseases. Their incidence has been increasing in recent years and the man-woman ratio is equal. The aetiopathogenetic mechanism is attributable to dilation of the pancreatic ducts with later formation of a cyst due to blocked flow. Symptomatology is bound up prev...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract::A case of a young male operated on for acute appendicitis due to a carcinoid of the base is reported. Since the tumor was infiltrating the resection margin of the appendix, the patient was later treated with a right hemicolectomy. Carcinoid tumor is unusual, but can be encountered several times during the career of a ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::Two cases of congenital diaphragmatic hernia affecting the central tendon are described. The anatomic, etiologic, pathogenic and clinic characteristics of this uncommon disease are then discussed. Finally some considerations about indications on how to operate on these congenital hernias and different repairing surgic...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1981-06-15 00:00:00
abstract::This paper is a critical review of the clinical records of 20 patients who underwent a Transduodenal Sphincteroplasty (PSP), from October 1990 to January 1992 at our Department (General Surgery). The age was 64.9 (14.2) years (mean and standard deviation), but 14 (70%) of those patients were older than 60 (range: 63 t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine the efficacy and safety of biliary-intestinal bypass in severely obese subjects (Body Mass Index > 35). METHODS:From January to December 1999, 23 patients (8 men and 15 women, mean age 36.6 years: range 20-51) affected with primary morbid obesity (BMI >40: range 40.1-6...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract::The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract:AIM:Gastro-esophageal reflux disease (GERD) has emerged as one of the most common diseases in modern civilization. We investigated functional evaluation after total fundoplication without division of short gastric vessels and review of literature. METHODS:From January 2007 to June 2008 43 patients with chronic gastroe...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2011-04-01 00:00:00
abstract::Twenty-two patients undergoing major head and neck surgery were included in a randomized trial to value the efficacy and side effects of parenteral short-term antibiotic prophylaxis of post-operative infections. Two different antibiotic regimens were compared: group A, ceftazidime i.v. (2 g) in three doses (half an ho...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-11-30 00:00:00
abstract:INTRODUCTION:Bronchogenic carcinomas involving the carina or the tracheo-bronchial angle represents a challenging surgical procedure because of difficult surgical techniques and complex ventilation procedures. Even though surgical outcomes for this type of procedure has improved over time, the need for surgical managem...
journal_title:Minerva chirurgica
pub_type: 杂志文章,meta分析
doi:10.23736/S0026-4733.17.07382-5
更新日期:2018-10-01 00:00:00
abstract::Hepatitis C is one of the leading indications for liver transplantation. Recipients can expect at least a short-term survival equivalent to other indications for liver transplantation. However, the rates of cirrhosis and decompensation development is substantially faster than those rates seen in non-transplant setting...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Numerous hypotheses are called to explain the beneficial effect on glucose metabolism after bariatric surgery. Some authors advocate for the secretion and release of various substances with endocrine functions for the explanation on this event. One of the substances most marked as effector, with contrasting ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07681-2
更新日期:2019-02-01 00:00:00
abstract::Typical sites of bronchogenic carcinoma metastases are liver, brain, bones or adrenal glands. Rarely and in advanced dissemination phase it could involve the skeletal muscle. Two cases of metastases in the skeletal muscle from bronchogenic carcinoma, one of which revealed this neoplasia, are reported. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::The paper reports a case of splenic rupture during the course of chronic pancreatitis, an event rarely reported in the literature. The anatomical arrangement of organs and peripancreatic vessels is a predisposing factor for this complication. There are essentially three different but correlated pathogenetic hypotheses...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::A clinical case of cloacogenic anal carcinoma is reported. These neoplasms, deriving from embryonal residuals at different levels of the ano-rectal junction, have a better prognosis than squamous carcinomas; the surgical alternative to abdomino-perineal resection is a simple local exeresis for small tumours that do no...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-10-15 00:00:00
abstract::The role of some so-called primary and secondary (or oligo-elements) elements in the physiopathology of the cardiocirculatory system has been well known from a number of years and they have been regularly included in the treatment protocols. Some, including K, Ca, Mg and Zn, are extremely well known and widely used in...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::Patients with cirrhosis have reduced life expectancy. Surgery is often associated with clinical decompensation in this group of patients. The purpose of this paper is to study the surgical risk in cirrhotic patients undergoing nonderivative operations. Unfortunately, most of the studies in the literature about this pr...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract::Attention is drawn to the fact that renal transplants are quite commonly complicated by stenosis of the arterial pedicle. The symptomatology (hypertension, oliguria, fever and gradual loss of renal function) points to the need for angiography. In about 70% of cases, surgical management in the light of the nature of th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-08-15 00:00:00
abstract::The authors make a wide-ranging review of the literature, examine the epidemiological aspect of fail chest and underline the importance of its correct anatomopathological classification for a more qualified physiopathologist, diagnostic and therapeutic approach. They make a historical excursion on volet's treatment an...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract::The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-12-15 00:00:00
abstract::Solitary fibrous tumors of the pleura represent a rare clinicopathological entity: 456 cases only have been reported since 1991. A interesting case of solitary fibrous tumor of the pleura is described here, because it turned up in a female patient followed up for a bilateral breast cancer and so with the exact determi...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
abstract::The paper describes a recent case of carcinoid of the appendix in a 15 year old patient, operated for appendicitis. The diagnosis was found incidentally by histologic examination. Following a review of the literature the Authors discuss the epidemiology and clinical aspects of the appendiceal carcinoid, the most commo...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-05-15 00:00:00
abstract::On the basis of a case of thyroid primary lymphoma observed and in the light of the literature. The distinctive features of this rare pathology are discussed. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-31 00:00:00
abstract:BACKGROUND:Intraperitoneal adhesions seem to be a possible cause of chronic abdominal pain, but reports of their etiological role are controversial. Laparoscopic adhesiolysis has been proposed as treatment of choice, even tough reports of success are contradictory. The aim of our prospective study, was to determine whe...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Laparoscopic surgery is used with increasing frequency to treat colorectal pathologies and some groups have also attempted to treat the complicated forms of diverticulitis (abscesses and/or fistulas). The results reported in the international literature are still controversial, especially in terms of the dur...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00