Endoscopic implantation of Enteryx for the treatment of gastroesophageal reflux disease: technique, pre-clinical and clinical experience Hubert Louis,

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Presentation transcript:

Endoscopic implantation of Enteryx for the treatment of gastroesophageal reflux disease: technique, pre-clinical and clinical experience Hubert Louis, MD, PhD, Jacques Devière, MD, PhD Gastrointestinal Endoscopy Clinics Volume 13, Issue 1, Pages 191-200 (January 2003) DOI: 10.1016/S1052-5157(02)00115-0

Fig. 1 Appearance of Enteryx after polymerization as a spongy black material in a glass of saline solution. Gastrointestinal Endoscopy Clinics 2003 13, 191-200DOI: (10.1016/S1052-5157(02)00115-0)

Fig. 2 Successive radiographic images taken during Enteryx injection. There is progressive formation of a “ring” around the distal esophagus. Panel at lower right shows injection of contrast by means of the endoscope to illustrate newly developed tapering in the region of the lower esophageal sphincter. (From Deviere J, Pastorelli A, Louis H, et al. Endoscopic implantation of a biopolymer in the lower esophageal sphincter for gastroesophageal reflux: a pilot study. Gastrointest Endosc 2002;55:335; with permission). Gastrointestinal Endoscopy Clinics 2003 13, 191-200DOI: (10.1016/S1052-5157(02)00115-0)

Fig. 3 Spiral CT showing a near complete circumferential Enteryx implant (arrow) 2 years after implantation (summation of transaxial images into a 10-mm thick slice). Gastrointestinal Endoscopy Clinics 2003 13, 191-200DOI: (10.1016/S1052-5157(02)00115-0)