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Stanak, M. and Hawlik, K. (2017): Electric stimulation therapy in patients with gastroesophageal reflux disease. Decision Support Document 104.

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Abstract

Electrical stimulation therapy (EST) is a surgical treatment for Gastroesophageal reflux disease (GERD). EST is a laparoscopically implanted device that aims is to reinforce the weak lower esophageal sphincter (LES) by delivering mild electrical signals to the LES, thus preventing reflux from the stomach entering the esophagus. We investigated the efficacy and safety of EST in GERD patients.

Overall, three studies with the total of 70 patients were included in the assessment of safety, however no study could answer the question of efficacy. The quality of evidence was very low and the overall risk of bias was considered moderate. Hence, no conclusion could be made about the effectiveness and safety of EST, and the ongoing randomised controlled trial will influence the result considerably. The inclusion in the Austrian catalogue of benefits is currently not recommended.

Item Type:Decision Support Document
Keywords:Gastroesophageal reflux, GERD, electric stimulation lower esophageal sphincter, heartburn
Subjects:WB Practice of medicine > WB 300-962 Therapeutics
W Health professions > W 100-275 Medical, dental and pharmaceutical service plans
WI Digestive system > WI 300-387 Stomach
WI Digestive system > WI 250 Oesophagus
WO Surgery > WO 505 Minimally invasive surgical procedures
Language:English
Series Name:Decision Support Document 104
Deposited on:17 Jul 2017 12:04
Last Modified:17 Jul 2017 12:04

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