Anti Reflux Band Ligation
Reflux disease is a condition that concerns 30-40% of the society today. After obesity started to affect large communities like a pandemic, reflux is increasing in parallel. In addition to common complaints such as chest tightness, bitter water in the mouth, and substernal burning, complications such as persistent dry cough, bad breath, and rapid decay of teeth, which are not known to be due to reflux, are seen. Long-term treatment of reflux disease increases the frequency of Barrett’s esophagus development and in addition to this, the lower end of the esophagus adenocarcinomas.
In the treatment of reflux disease, in addition to lifestyle changes and drug treatments, surgical Fun duplication surgeries are classically performed.
However, today, endoscopic methods that are more economical, faster and safer than surgeries are gaining popularity in the treatment of reflux.
Reflux treatment with anti-reflux band ligation is one of them.
Who Should Have the ARBL Process?
The situations where ARBL should be performed are as follows;
- People who continue to have reflux complaints despite lifestyle changes and medication
- People who want to avoid the side effects of long-term drug treatment
- People who cannot tolerate reflux surgical treatment due to comorbidities
- People who have had sleeve gastrectomy or various stomach operations before
How is the procedure performed?
The ARBL procedure takes about 8 to 15 minutes after the patients are put to sleep with sedation. In the area where the esophagus meets the stomach, 4 to 7 band ligations are applied, starting on the side of the small curvature. After each band ligation is applied, the lower esophageal sphincter is checked for tightness. In order to avoid the complaint of narrowing of the lower esophagus, tapes are applied to turn the endoscopy a maximum of 280-300 degrees.
Those Who Have Endoscopic Reflux Treatment ARBL
This patient is a 35-year-old male patient. A patient of ours who had complaints such as bitter water in the mouth and sleeping with three pillows 2 months after ARBL treatment.
Who Should Not Do It
Surgical fundoplication methods should be preferred in people with large-scale hiatal hernia.