The patient can return to work and normal life in a short time. “The treatment takes about an hour and involves hospitalization for a day only, for supervision. “In the treatment, we perform a reconstruction of the esophageal valve with a normal endoscopy through the mouth without incisions,” Livovsky said. These people therefore continue to suffer from persistent symptoms and side effects. There is a group of people who are not sick enough to justify surgery on the one hand and for whom the drug treatment does not provide a satisfactory answer or who are not interested in taking medication for the rest of their life on the other hand. The second treatment is a complex operation in which a surgeon uses the upper part of the stomach around the esophagus to restore the valve that does not work properly and to repair a hernia in the diaphragm if there is one. In addition, non-acidic fluid continues to rise, which can cause symptoms and impair the quality of life. Sometimes, however, they cause various side effects that can impair daily functioning. One is pills that reduce the level of acidity of the liquid that rises from the stomach to the esophagus. Livovsky said that two treatments are offered for acid reflux. In a systematic meta-review of 15 epidemiological studies, the prevalence of reflux disease was found to be 10% to 20% of the West’s population in Israel, tens of percent of patients suffer from this phenomenon at least once a year. The risk factors for reflux are obesity, smoking and drinking alcohol. REFLUX IS one of the most common diseases in the Western world and in Israel, when the main symptom is heartburn. TIF can replace open surgery that involves a long recovery, making possible a quick return to routine within 24 hours. Transoral means the procedure is done through the mouth without any external incisions. Fundoplication helps create a new barrier to reflux from the stomach. Fundoplication means folding of the fundus, the tissue at the top of the stomach.īy folding the fundus around the opening between the stomach and esophagus, a gastroenterologist reinforces this area to prevent stomach acid from coming up into the muscular food tube. The minimally invasive endoscopic operation called transoral incisionless fundoplication (TIF) reconstructs the valve between the stomach and esophagus. They were supported by Endogastric Solutions of Redmond, Washington, which developed the innovative treatment, and Medhot, an importer of dental supplies in Israel. Eran Goldin, head of the SZMC Digestive Diseases Institute performed the procedure. Dan Meir Livovsky, a senior gastroenterologist and endoscopist, and Prof. Gastroenterologists from the largest Israeli hospitals watched as Dr. Specialists at Jerusalem’s Shaare Zedek Medical Center have performed for the first time in Israel an innovative endoscopic procedure that successfully treats patients suffering from heartburn acid reflux and can come instead of surgery. Most are able to manage the discomfort of GERD with lifestyle changes and medications, but some have had to undergo surgery to ease symptoms. When lifestyle changes and medications aren't enough (function (a, d, o, r, i, c, u, p, w, m) ` (script) First in Israel: Doctors treat acid reflux without invasive surgery - The Jerusalem Post
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