It is thought that suture loss at 12 to 18 months was the likely cause and therefore the authors stated that improvements in the durability of the sutures maybe be required CR Bard has now since discontinued the device. Nevertheless, a systematic review including 15 studies reported overall improvement in reflux symptoms scores. A randomised, sham-controlled study reported improvements in oesophageal acid exposure, reflux symptoms and PPI dependence — outcomes that were confirmed out to five years. The EsophyX device reconstructs the gastro-oesophageal valve, restoring its competency and re-establishing the barrier to reflux. The device has undergone several modifications to more closely replicate laparoscopic fundoplication.
|Aspettami||Dalle 6 Alle 15||Piccolina Adoro Succhiare|
|Pele||Dalle 11 Alle 20||Calda E Passionale Calma Senza Fretta|
|Burgondi||Dalle 14 Alle 21||Maschio Per Mamma Vogliosa|