First Experience with Banded Anti-reflux Mucosectomy (ARMS) for GERD: Feasibility, Safety, and Technique (with Video) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-07

AUTHORS

Herbert Mason Hedberg, Kristine Kuchta, Michael B. Ujiki

ABSTRACT

BACKGROUND: Anti-reflux mucosectomy (ARMS) is a relatively new endoscopic procedure for gastroesophageal reflux disease (GERD). A hemi-circumferential endoscopic mucosal resection (EMR) is performed around the gastroesophageal junction (GEJ), which then contracts and tightens during healing. The aim of this study was to assess the feasibility and safety of the procedure. A secondary aim was to assess short-term outcomes on PPI use and symptom resolution. METHODS: IRB approval was obtained for retrospective review of a prospectively collected database including patients who underwent ARMS during a 2-year period. To be eligible for the procedure, patients required medically refractory GERD and a hiatal hernia no more than 2 cm. A 270-degree mucosal resection of the gastric cardia was performed in a retroflexed position using a multi-band EMR system. Demographics, preoperative workup, intraoperative factors, additional procedures, and other follow-up were collected by chart review. Voluntary validated surveys assessed symptomatic improvement over time. RESULTS: There were 19 patients available for review. The procedure was technically completed in all cases. There was one muscle injury due to a deep resection that was repaired by endoscopic suturing. All patients were discharged on the day of the procedure. Early dysphagia was experienced by three patients (16%) which was addressed with endoscopic balloon dilation. GERD symptoms improved in 13 patients (68%) after discontinuing PPI therapy. Three of the six failures went on to have additional anti-reflux surgery. Among patients who did not have additional surgery, quality of life data showed significant symptomatic improvement by 6 months. CONCLUSION: In this ARMS case series, the procedure was technically successful in all patients with only one minor complication. Two thirds of patients showed symptomatic improvement and were able to discontinue their PPI. ARMS appears to be a safe procedure that does not hinder future laparoscopic anti-reflux surgery in case of failure. Additional tuning of technique and postoperative management may be able to reduce dysphagia rates and the need for dilation. More... »

PAGES

1-5

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-019-04115-1

DOI

http://dx.doi.org/10.1007/s11605-019-04115-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111982851

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30734179


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Chicago", 
          "id": "https://www.grid.ac/institutes/grid.170205.1", 
          "name": [
            "Department of Surgery, University of Chicago Medicine, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hedberg", 
        "givenName": "Herbert Mason", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "NorthShore University HealthSystem", 
          "id": "https://www.grid.ac/institutes/grid.240372.0", 
          "name": [
            "NorthShore University HealthSystem Research Institute, Evanston, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kuchta", 
        "givenName": "Kristine", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "NorthShore University HealthSystem", 
          "id": "https://www.grid.ac/institutes/grid.240372.0", 
          "name": [
            "Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ujiki", 
        "givenName": "Michael B.", 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1113/jphysiol.2006.124032", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005427344"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/ajg.2015.28", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005971399", 
          "https://doi.org/10.1038/ajg.2015.28"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/ajg.2015.28", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005971399", 
          "https://doi.org/10.1038/ajg.2015.28"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00535-009-0064-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008584969", 
          "https://doi.org/10.1007/s00535-009-0064-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00535-009-0064-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008584969", 
          "https://doi.org/10.1007/s00535-009-0064-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00535-009-0064-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008584969", 
          "https://doi.org/10.1007/s00535-009-0064-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s40273-014-0164-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017375039", 
          "https://doi.org/10.1007/s40273-014-0164-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.bpg.2013.06.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019696760"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mge.2003.361", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034536623"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078990886", 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-017-3952-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084020348", 
          "https://doi.org/10.1007/s00268-017-3952-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-017-3952-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084020348", 
          "https://doi.org/10.1007/s00268-017-3952-4"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-02-07", 
    "datePublishedReg": "2019-02-07", 
    "description": "BACKGROUND: Anti-reflux mucosectomy (ARMS) is a relatively new endoscopic procedure for gastroesophageal reflux disease (GERD). A hemi-circumferential endoscopic mucosal resection (EMR) is performed around the gastroesophageal junction (GEJ), which then contracts and tightens during healing. The aim of this study was to assess the feasibility and safety of the procedure. A secondary aim was to assess short-term outcomes on PPI use and symptom resolution.\nMETHODS: IRB approval was obtained for retrospective review of a prospectively collected database including patients who underwent ARMS during a 2-year period. To be eligible for the procedure, patients required medically refractory GERD and a hiatal hernia no more than 2\u00a0cm. A 270-degree mucosal resection of the gastric cardia was performed in a retroflexed position using a multi-band EMR system. Demographics, preoperative workup, intraoperative factors, additional procedures, and other follow-up were collected by chart review. Voluntary validated surveys assessed symptomatic improvement over time.\nRESULTS: There were 19 patients available for review. The procedure was technically completed in all cases. There was one muscle injury due to a deep resection that was repaired by endoscopic suturing. All patients were discharged on the day of the procedure. Early dysphagia was experienced by three patients (16%) which was addressed with endoscopic balloon dilation. GERD symptoms improved in 13 patients (68%) after discontinuing PPI therapy. Three of the six failures went on to have additional anti-reflux surgery. Among patients who did not have additional surgery, quality of life data showed significant symptomatic improvement by 6\u00a0months.\nCONCLUSION: In this ARMS case series, the procedure was technically successful in all patients with only one minor complication. Two thirds of patients showed symptomatic improvement and were able to discontinue their PPI. ARMS appears to be a safe procedure that does not hinder future laparoscopic anti-reflux surgery in case of failure. Additional tuning of technique and postoperative management may be able to reduce dysphagia rates and the need for dilation.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11605-019-04115-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1116755", 
        "issn": [
          "1091-255X", 
          "1873-4626"
        ], 
        "name": "Journal of Gastrointestinal Surgery", 
        "type": "Periodical"
      }
    ], 
    "name": "First Experience with Banded Anti-reflux Mucosectomy (ARMS) for GERD: Feasibility, Safety, and Technique (with Video)", 
    "pagination": "1-5", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "98913c558170225789865b4b6db7892a2001412e5e2112a96616e320f56f5ae6"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30734179"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9706084"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11605-019-04115-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1111982851"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11605-019-04115-1", 
      "https://app.dimensions.ai/details/publication/pub.1111982851"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T09:03", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000332_0000000332/records_121936_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11605-019-04115-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04115-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04115-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04115-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04115-1'


 

This table displays all metadata directly associated to this object as RDF triples.

105 TRIPLES      21 PREDICATES      34 URIs      18 LITERALS      7 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11605-019-04115-1 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N3c11f034e4e74f51bf4cb31ed8630ef3
4 schema:citation sg:pub.10.1007/s00268-017-3952-4
5 sg:pub.10.1007/s00535-009-0064-4
6 sg:pub.10.1007/s40273-014-0164-8
7 sg:pub.10.1038/ajg.2015.28
8 https://app.dimensions.ai/details/publication/pub.1078990886
9 https://doi.org/10.1016/j.bpg.2013.06.001
10 https://doi.org/10.1067/mge.2003.361
11 https://doi.org/10.1113/jphysiol.2006.124032
12 schema:datePublished 2019-02-07
13 schema:datePublishedReg 2019-02-07
14 schema:description BACKGROUND: Anti-reflux mucosectomy (ARMS) is a relatively new endoscopic procedure for gastroesophageal reflux disease (GERD). A hemi-circumferential endoscopic mucosal resection (EMR) is performed around the gastroesophageal junction (GEJ), which then contracts and tightens during healing. The aim of this study was to assess the feasibility and safety of the procedure. A secondary aim was to assess short-term outcomes on PPI use and symptom resolution. METHODS: IRB approval was obtained for retrospective review of a prospectively collected database including patients who underwent ARMS during a 2-year period. To be eligible for the procedure, patients required medically refractory GERD and a hiatal hernia no more than 2 cm. A 270-degree mucosal resection of the gastric cardia was performed in a retroflexed position using a multi-band EMR system. Demographics, preoperative workup, intraoperative factors, additional procedures, and other follow-up were collected by chart review. Voluntary validated surveys assessed symptomatic improvement over time. RESULTS: There were 19 patients available for review. The procedure was technically completed in all cases. There was one muscle injury due to a deep resection that was repaired by endoscopic suturing. All patients were discharged on the day of the procedure. Early dysphagia was experienced by three patients (16%) which was addressed with endoscopic balloon dilation. GERD symptoms improved in 13 patients (68%) after discontinuing PPI therapy. Three of the six failures went on to have additional anti-reflux surgery. Among patients who did not have additional surgery, quality of life data showed significant symptomatic improvement by 6 months. CONCLUSION: In this ARMS case series, the procedure was technically successful in all patients with only one minor complication. Two thirds of patients showed symptomatic improvement and were able to discontinue their PPI. ARMS appears to be a safe procedure that does not hinder future laparoscopic anti-reflux surgery in case of failure. Additional tuning of technique and postoperative management may be able to reduce dysphagia rates and the need for dilation.
15 schema:genre research_article
16 schema:inLanguage en
17 schema:isAccessibleForFree false
18 schema:isPartOf sg:journal.1116755
19 schema:name First Experience with Banded Anti-reflux Mucosectomy (ARMS) for GERD: Feasibility, Safety, and Technique (with Video)
20 schema:pagination 1-5
21 schema:productId N04b7363a18ef4c40ac05d6b622f18ebd
22 N483748cfa610468f924e240271dd7a96
23 N4f3ccd7bbc2341b0a3f5daef01032de5
24 N70615b1c95684042ab8f9d76d44e949c
25 Nd5d97ad36d06410daa67aaafc366e539
26 schema:sameAs https://app.dimensions.ai/details/publication/pub.1111982851
27 https://doi.org/10.1007/s11605-019-04115-1
28 schema:sdDatePublished 2019-04-11T09:03
29 schema:sdLicense https://scigraph.springernature.com/explorer/license/
30 schema:sdPublisher N6d142ff2f94046eeb1617c0a60d3aa7b
31 schema:url https://link.springer.com/10.1007%2Fs11605-019-04115-1
32 sgo:license sg:explorer/license/
33 sgo:sdDataset articles
34 rdf:type schema:ScholarlyArticle
35 N04b7363a18ef4c40ac05d6b622f18ebd schema:name readcube_id
36 schema:value 98913c558170225789865b4b6db7892a2001412e5e2112a96616e320f56f5ae6
37 rdf:type schema:PropertyValue
38 N3c11f034e4e74f51bf4cb31ed8630ef3 rdf:first N54aa9cccc8584f6ea1bdf2ba5c5e0625
39 rdf:rest Nce0888f27bf8440cac70002d88743867
40 N483748cfa610468f924e240271dd7a96 schema:name nlm_unique_id
41 schema:value 9706084
42 rdf:type schema:PropertyValue
43 N4f3ccd7bbc2341b0a3f5daef01032de5 schema:name pubmed_id
44 schema:value 30734179
45 rdf:type schema:PropertyValue
46 N54aa9cccc8584f6ea1bdf2ba5c5e0625 schema:affiliation https://www.grid.ac/institutes/grid.170205.1
47 schema:familyName Hedberg
48 schema:givenName Herbert Mason
49 rdf:type schema:Person
50 N5948ce27ef2b44c5ad969965dfe9f454 rdf:first Nb97fe97935e14399a2744cfb13716026
51 rdf:rest rdf:nil
52 N6d142ff2f94046eeb1617c0a60d3aa7b schema:name Springer Nature - SN SciGraph project
53 rdf:type schema:Organization
54 N70615b1c95684042ab8f9d76d44e949c schema:name dimensions_id
55 schema:value pub.1111982851
56 rdf:type schema:PropertyValue
57 Nb750c315590344fa89ae4563da6e18ca schema:affiliation https://www.grid.ac/institutes/grid.240372.0
58 schema:familyName Kuchta
59 schema:givenName Kristine
60 rdf:type schema:Person
61 Nb97fe97935e14399a2744cfb13716026 schema:affiliation https://www.grid.ac/institutes/grid.240372.0
62 schema:familyName Ujiki
63 schema:givenName Michael B.
64 rdf:type schema:Person
65 Nce0888f27bf8440cac70002d88743867 rdf:first Nb750c315590344fa89ae4563da6e18ca
66 rdf:rest N5948ce27ef2b44c5ad969965dfe9f454
67 Nd5d97ad36d06410daa67aaafc366e539 schema:name doi
68 schema:value 10.1007/s11605-019-04115-1
69 rdf:type schema:PropertyValue
70 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
71 schema:name Medical and Health Sciences
72 rdf:type schema:DefinedTerm
73 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
74 schema:name Clinical Sciences
75 rdf:type schema:DefinedTerm
76 sg:journal.1116755 schema:issn 1091-255X
77 1873-4626
78 schema:name Journal of Gastrointestinal Surgery
79 rdf:type schema:Periodical
80 sg:pub.10.1007/s00268-017-3952-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084020348
81 https://doi.org/10.1007/s00268-017-3952-4
82 rdf:type schema:CreativeWork
83 sg:pub.10.1007/s00535-009-0064-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008584969
84 https://doi.org/10.1007/s00535-009-0064-4
85 rdf:type schema:CreativeWork
86 sg:pub.10.1007/s40273-014-0164-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017375039
87 https://doi.org/10.1007/s40273-014-0164-8
88 rdf:type schema:CreativeWork
89 sg:pub.10.1038/ajg.2015.28 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005971399
90 https://doi.org/10.1038/ajg.2015.28
91 rdf:type schema:CreativeWork
92 https://app.dimensions.ai/details/publication/pub.1078990886 schema:CreativeWork
93 https://doi.org/10.1016/j.bpg.2013.06.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019696760
94 rdf:type schema:CreativeWork
95 https://doi.org/10.1067/mge.2003.361 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034536623
96 rdf:type schema:CreativeWork
97 https://doi.org/10.1113/jphysiol.2006.124032 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005427344
98 rdf:type schema:CreativeWork
99 https://www.grid.ac/institutes/grid.170205.1 schema:alternateName University of Chicago
100 schema:name Department of Surgery, University of Chicago Medicine, Chicago, IL, USA
101 rdf:type schema:Organization
102 https://www.grid.ac/institutes/grid.240372.0 schema:alternateName NorthShore University HealthSystem
103 schema:name Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA
104 NorthShore University HealthSystem Research Institute, Evanston, IL, USA
105 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...