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Gut 2005;54:735
Copyright © 2005 BMJ Publishing Group Ltd & British Society of Gastroenterology.
Gut 2005;54:735
© 2005 by BMJ Publishing Group Ltd & British Society of Gastroenterology

Digest

Robin Spiller, Editor

The first 150 words of the full text of this article appear below.

Short term benefit but long term failure after endoscopic gastroplication

The idea of endoscopic surgery to cure gastro-oesophageal reflux has tremendous appeal and initial data looked very promising, with two thirds of patients off all medication soon after the procedure. However, reflux is a long term condition and as the current study of 70 patients from the University of Lieipzig shows, the initial benefit receded rapidly. By 18 months 80% were considered failures and most were back on medication. Objective measures at 12 months showed no reduction in distal oesophageal acid exposure or lower oesophageal sphincter pressure. Disappointingly, at this time no suture remained in 26% of patients and two out of the three sutures had disappeared in 43%, suggesting that suture loss is an important reason for this poor result. Whether improved suturing techniques will solve this problem remains to be determined.
See p 752

Interval faecal occult blood testing improves detection rates in colonoscopy screening programmes

As many countries start to grapple with the problems of national colorectal cancer screening . . . [Full text of this article]


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