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Volume 7
Journal of Metabolic Syndrome
ISSN : 2167-0943
Metabolic Syndrome 2018 | Endoscopy 2018
June 28-29, 2018
Page 24
Notes:
conference
series
.com
ENDOCRINOLOGY AND METABOLIC SYNDROME
&
ABDOMINAL IMAGING AND ENDOSCOPY
June 28-29, 2018 Amsterdam, Netherlands
12
th
International Conference on
3
rd
International Conference on
JOINT EVENT
Antonio Iannetti, J Metabolic Synd 2018, Volume 7
DOI: 10.4172/2167-0943-C1-007
Endoscopic therapies in gastroesophageal reflux disease: A clinical review and scientific literature
G
astro-esophageal reflux disease is a very common disease among the
“healthy” population. Its natural history involves continuous recursions
alternating with quiescent stages. For this reason, the importance of the social
problem and high health costs is clear. Some patients do not respond tomedical
therapy. Those who benefit from medical treatment often become addicted to
medication. As many are young and as medical therapy can have adverse side
effects such as anemia, osteoporosis, and infections, the need for alternative
therapies arises. Surgery is seen with fear in view of the possible early or late
complications and the technical difficulties of repeating the intervention in
case of failure. Laparoscopic surgery has favored a greater propensity for the
surgical solution, but it is still an intervention involving three to four days
of hospitalization. Endoscopic surgery, easy, repeatable surgery, without
intraoperative and postoperative complications, which can be performed at Day Hospital, would be ideal for this type of
chronic illness. In reviewing the various techniques that have been proposed over the last 20 years, I refer to the considerations
derived from international literature. I carry out scientific studies that compared endoscopic operations (especially endoscopic
fundoplication) with surgical fundoplication, with satisfactory results but not always in favor of the first one. My personal
invitation is to continue to look for solutions with endoscopic surgery, which should be or become the most appropriate
technique for this type of pathology, considering the easy repeatability, if anything but a bridge to surgery.
Biography
Antonio Iannetti has completed his graduation in Medicine and Surgery and Specializations in Gastroenterology and Internal Medicine from the University of Rome. He
is a Medical Clinic Assistant at the University of Rome since 1975. His other research and academic positions include: 1980–1983, University of Los Angeles (USA);
1982–1985, Hospital Assistant at Policlinico Umberto, University Hospital Roma; Lecturer Urgency Medicine at the Hospital Medical School; since 1985; University
Professor of Gastroenterology Chair University, University Polyclinic Umberto, Rome; 1991–1993, Director of Emergency Endoscopy Service; 1994–2010, Director
Digestive Endoscopy Service at the University Hospital Umberto of Rome; 1987–2013, Professor of Digestive Endoscopy at the School of Specialization and Digestive
Diseases at the Degree Course of the Faculty of Medicine and Surgery of the University of Rome "Sapienza".Also, he teaches E.C.M. courses nationally and internationally.
Since 2011, he is a Gastroenterology Expert at the Ministry of Health.
antonio@iannetti.itAntonio Iannetti
University “La Sapienza” Roma, Italy