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reflux of the digestive system

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reflux of the digestive system



American surgeons managed to find a new way to treat reflux of the digestive system «GERD» without recourse to open surgery or the use of binoculars abdominal surgery.
The main new tool, called Medical Center by surgeons of the mandate of Boston name «install the stomach without surgery through the mouth» (TransoralIncisionless Fundaplication) in the use of surgical instruments through the gastroscope to repair the valve between the esophagus and the stomach without the need for surgery, the abdomen is cut or even binoculars abdomen, It differs from the gastroscope, with the latter is inserted through the mouth, while the laparoscope through multiple holes in the abdomen, which means less need for anesthesia, and to avoid the problems resulting from surgical bleeding and longer stays in hospitals.
Professor Miguel Birch, deputy director of the treatment unit digestive problems Medical Center in Boston, said in a statement issued by the center end of October (October) the past: «with the use of this medium, people can engage in normal life the next day in most cases».
Reflux is one of the problems faced by humans, and suffer 60 million Americans (one fifth of the population) of the flashback episodes once a month at least, of whom 14 million suffer daily. And the global percentage similarity to a large extent the U.S. rate.
* Symptoms and complications
* One of the main symptoms and complications of flashbacks: a sense of Balhmodp, and chest pain, difficulty swallowing, and pain during swallowing, nausea, vomiting, esophageal ulcers and their problems such as bleeding and cancer of the esophagus, a potentially disruptive symptoms of the patient, and could lead to full incapacitation from engaging in normal life.
And the disease is diagnosed by medical history, in addition to the telescope esophagus, stomach and X-ray sympathetically. Measuring the pH of the esophagus cornerstone in the diagnosis of the disease accurately.
The problem lies in patients with flashbacks in the weakness of the valve at the junction between the esophagus and stomach, and the valve of the condensing component of the membrane lining the bottom of the esophagus and upper stomach, and allows the passage of food in one direction, from the esophagus to the stomach, and inhibits the contrary, the diaphragm muscle play an important role in assisting the post when contraction.
The acid which is produced by the stomach, hydrochloric acid, one of the strongest acid that can melt the fat and protein, which allows transfer of the image of eating a semi-solid to liquid to help the intestines to absorb the initial components of which, however, the secretion of stomach cells to protect the special rule buccal wall of the acid corrosion, but the thin lining of the esophagus, which is not the secretion of the mucus from the cells, can not tolerate the impact of such a strong acid, enter the wall erosion and ulceration when subjected to continuous reflux.
And methods of treatment of this disease include surgical intervention to repair the valve between the esophagus and stomach, by installing the stomach in a specific place, and the development of muscle fibers of the diaphragm about the whereabouts of the damaged valve, the valve support and function, but the complications of this surgery many, they are difficult and require surgery to a surgeon Maher as great deal of experience, in addition to the high cost and requires the patient to the hospital after a long time.
Among the most important ways of treating different kinds of flashbacks antacids, the drugs work in different ways to reduce the acidity of stomach fluids, either by reducing the secretion of acid, acid or equivalent, or configure the protective lining of the stomach lining and the lower part of the esophagus and all the ways intended to prevent the occurrence of symptoms and complications, but this method several side effects, including on the same drugs, such as impact on fertility and indigestion, as they do not address the basis of the disease, which is twice the upper stomach valve, and thus used for life.
The Professor Hiran Fernando, participating in the new surgical experience: «may relieve different drugs for the treatment of flashbacks users by reducing the acid, but does not fit the situation, and therefore many of the cases could deteriorate without feeling so sick, leading to serious consequences without notice».

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