První případ elektrické stimulační terapie dolního jícnového svěrače indikovaný k implantaci v ČR
| Title in English | A First case of electrical stimulation therapy of lower esophageal sphincter indicated for implantation in the Czech Republic |
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| Authors | |
| Year of publication | 2016 |
| Type | Conference abstract |
| MU Faculty or unit | |
| Citation | |
| Description | We report a case of a young 26-year-old man su ering from re ux symptoms and nonspeci c esophageal dysmotility who was indicated to implantation of electrical stimulation therapy of the lower esophageal sphincter. This is the rst case of use of this new surgical method for the treatment of gastroesophageal re ux disease in the Czech Republic. The patient underwent a variety of diagnostic tests, which failed to reveal other diseases besides gastroesophageal re ux disease and esophageal motility disorder. We exhausted the possibilities of conservative therapies, all of which did not signi cantly improve the patient’s condition. Subsequently, a consultation with a surgical department dealing with implantation of electrical stimulator of the esophagus resulted in the patient receiving approval for EndoStim implantation. Therefore, on October 14, 2015, professor Gutt, Memmingem Chirurgische Klinik, Germany, with experience in implanting 13 EndoStim devices, performed laparoscopic hiatal hernia repair and implanted the EndoStim in the patient. The surgery was well executed without any complications and the patient was in generally good condition after the operation released home. High-resolution esophageal manometry after surgery captured rare peristaltic waves and some improvement in dysmotility. The patient is now without proton pump inhibitor medication and subjectively feels better, and according to the latest MII-pH results, is without objective signs of re ux disease. During the postoperative period, the patient only once experienced vomiting; otherwise, there was a signi cant improvement in overall symptoms. The patient is waiting for further examination and readjustment of therapy to optimize the outcome. |