1.) 经食管内镜胃成形术(胃折叠术、经口无切口胃底折叠术 [TIF])是一种门诊手术。在此过程中,胃底被折叠,然后用设备部署的钉书钉或紧固件固定到位。内窥镜手术旨在重建瓣膜和反流屏障。2.) 射频能量已用于在胃食管连接处产生粘膜下热损伤。(该技术被称为 Stretta 手术。)具体而言,射频能量通过插入食管壁鳞柱交界处上方和下方多个位置的 4 个电极施加。作用机制尚不清楚,但可能与负责括约肌松弛的神经通路消融有关,或可能引起与热诱导胶原收缩和纤维化相关的组织紧缩效应。 3.) 还研究了通过粘膜下注射或植入假体或填充剂来增加下食管括约肌的体积。已经对一种填充剂——热解碳涂层氧化锆球 (Durasphere) 进行了评估。Gatekeeper™ 反流修复系统 (Medtronic) 采用由聚丙烯腈基水凝胶制成的柔软、柔韧、可膨胀的假体。假体植入食管粘膜下层,随着时间的推移,假体吸收水分并膨胀,在植入区域形成体积。然而,唯一确定的 RCT 因缺乏疗效而提前终止,并由制造商自愿撤回。还研究了将聚甲基丙烯酸甲酯珠子植入下食管皱褶的内镜粘膜下层。监管状态 EsophyX® (EndoGastric Solutions) 是一种 TIF 设备,于 2007 年获得 510(k) 营销许可,可用于全层折叠术。2016 年,带有 SerosaFuse 紧固件的 EsophyX® Z 设备通过 510(k) 流程获得 FDA 营销许可 (K160960),可用于经口组织对合、全层折叠术、胃肠道结扎、缩小胃食管连接处以及减少有症状的慢性胃食管反流病 (GERD) 患者 2 厘米或以下的食管裂孔疝。2017 年 6 月,EsophyX2 HD 和带有 SerosaFuse 紧固件和配件的第三代 EsophyX Z 设备通过 510(k) 获得 FDA 营销许可
披露:Camidge 博士报告担任 AbbVie、Apollomics、AstraZeneca、Daiichi Sankyo、Elevation、Kestrel、Nuvalent、Seattle Genetics、Takeda、Turning Point、Amgen、Anchiano、Bio-Thera、Bristol-Myers Squibb、Eisai、EMD Serono、Eli Lilly、GlaxoSmithKline、Helsinn、Janssen、OnKure、 Mersana、辉瑞、齐鲁、罗氏、赛诺菲、CBT Pharmaceuticals、G1 Therapeutics、Blueprint、Achilles、BeyondSpring、Archer、美敦力和 Ribon;接受 Inivata 的研究资助;并参加由 AbbVie、AstraZeneca、Dizal、Inhibrx、Karyopharm、P fi zer、Phosplatin、PsiOxus、Rain、Roche/Genentech、Seattle Genetics、Takeda 和 Turning Point 等公司赞助的试验(机构)。Barlesi 博士自述担任 Roche/Genentech、P fi zer、Novartis、Pierre Fabre、Bristol-Myers Squibb、AstraZeneca/MedImmune、Boehringer Ingelheim、Eli Lilly、Merck Serono、Merck Sharp & Dohme Oncology 和 Takeda 的顾问或顾问角色;从 Roche/Genentech、Bristol-Myers Squibb 和 AstraZeneca/MedImmune 获得差旅、住宿和费用资助;获得罗氏/基因泰克、辉瑞、诺华、皮埃尔法伯、百时美施贵宝、阿斯利康/MedImmune、勃林格殷格翰、礼来、默克雪兰诺、默克夏普和多姆肿瘤学以及武田的酬金;以及罗氏/基因泰克、阿斯利康/MedImmune、百时美施贵宝和皮埃尔法伯提供的研究资金。Angevin 博士自述担任默克夏普和多姆、葛兰素史克、新基和 MedImmune 的顾问或顾问角色并开展研究;并从 AbbVie、罗氏、赛诺菲、辉瑞和 MedImmune 获得差旅、住宿和费用资助。Bauer 博士自述担任 Guardant Health、Ignyta、Loxo 和辉瑞的顾问;并获得 AbbVie、Aileron Therapeutics、Amgen、Astellas Pharma、AstraZeneca、Boehringer Ingelheim、Bristol-Myers Squibb、Calithera Biosciences、Daiichi Sankyo、Deciphera、Genentech/Roche、GlaxoSmithKline、Ignyta、Immunocore、ImmunoGen、Incyte、Kolltan Pharmaceuticals、Leap Therapeutics、Eli Lilly、MabVax、MedImmune、MedPacto Inc.、Merck、Merrimack、Millennium、Mirati Therapeutics、Moderna Therapeutics、Novartis、Peloton、P fi zer、Principia Biopharma、Roche、Sano fi 和 Stemline Therapeutics 的研究资助。 Delmonte 博士自述担任 Bristol-Myers Squibb、AstraZeneca、Roche 和 Takeda 的顾问或顾问委员会成员,并担任 AbbVie 部分临床试验的主要研究员。Dunbar 博士、Motwani 博士、Parikh 博士、Noon 博士、Wu 博士和 Blot 博士均为 AbbVie 的员工,可能持有其股份。Goldman 博士自述获得 AbbVie 和 Genentech/Roche 的研究经费;获得 Genentech 的咨询费;以及获得 AbbVie、Bristol-Myers Squibb 和 Genentech 的研究经费和咨询费。Heist 博士自述获得 Boehringer Ingelheim、Tarveda 和 Novartis 的顾问酬金;担任 Apollomics、Daichii Sankyo、和 EMD Serono;并获得机构研究经费(而非个人)
利益冲突:K.P。收到了三菱Tanabe Pharma的讲座费。N.V.C. 获得了R-Biopharm,Takeda和UCB的研究赠款和个人费用;以及Alimentiv,Inc。(以前是Robarts Clinical Trials,Inc。)的个人费用,Celltrion和Prometheus。 A.S.C:收到了Abbvie,Janssen,Takeda,Bacainn,Arena Pharmaceuticals,Grifols,Prometheus,Samsung,Bristol Myers Squibb和Pfizer和Pfizer以及Inform诊断的研究支持。 s.v. 获得了Abbvie,J&J,Pfizer和Takeda的赠款;并已收到Abbvie,Arena Pharmaceuticals,Avaxia,Boehringer Ingelheim,Celgene,Celgene,Falk Pharma博士,Falk Pharma,Ferring,Galapagos,Galapagos,Gelentech-Roche,Gilead,Gilead,Hospira,Hospira,Hospira,Hospira,Janssen,Janssen,Janssen,Mundipharma,Msdipharma,Progigest,Promise,Promise,Promise,Promise,promister,promigen,promigen,promigen,promigen,promigen,promigen,基因组,郡,武田,Theravance和Tilots Pharma ag。 N.A. 从辉瑞(Pfizer)获得了赠款,并从辉瑞(Pfizer)和武田(Takeda)获得了詹森(Janssen)的演讲费。 T.K. 报告了Alfresa Pharma,Covidien,Eli Lilly,Ferring Pharmaceuticals,Janssen,Kyorin Pharmaceutical,Mochida Pharmaceutical,Nippon kyaku,pfizer,Takeda Pharmaceutical,Themo Scientific,Abbvie GK,Abbvie GK,Astrace of Pronmach,Nippare,Nippare,EA,EA KYA,EA KYA,EA KYAAK,NIPPON,EA KYAAK,NIPPON PHARMATICAN,NIPPON PHARMATICATIC三菱Tanabe Pharma,Zeria,Gilead Sciences,Janssen,Jimro,Abbvie GK,EA Pharma,Otsuka Holdings,Zeria,Kyorin Pharmaceutical,Mochida Pharmaceutical,Thermo Fisher,Thermo Fisher Scientific,Alfresa Pharma,Nippon Kyaku。 p.m.i. M.F. P.G.K. N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.N.V.C.获得了R-Biopharm,Takeda和UCB的研究赠款和个人费用;以及Alimentiv,Inc。(以前是Robarts Clinical Trials,Inc。)的个人费用,Celltrion和Prometheus。A.S.C:收到了Abbvie,Janssen,Takeda,Bacainn,Arena Pharmaceuticals,Grifols,Prometheus,Samsung,Bristol Myers Squibb和Pfizer和Pfizer以及Inform诊断的研究支持。s.v.获得了Abbvie,J&J,Pfizer和Takeda的赠款;并已收到Abbvie,Arena Pharmaceuticals,Avaxia,Boehringer Ingelheim,Celgene,Celgene,Falk Pharma博士,Falk Pharma,Ferring,Galapagos,Galapagos,Gelentech-Roche,Gilead,Gilead,Hospira,Hospira,Hospira,Hospira,Janssen,Janssen,Janssen,Mundipharma,Msdipharma,Progigest,Promise,Promise,Promise,Promise,promister,promigen,promigen,promigen,promigen,promigen,promigen,基因组,郡,武田,Theravance和Tilots Pharma ag。N.A.从辉瑞(Pfizer)获得了赠款,并从辉瑞(Pfizer)和武田(Takeda)获得了詹森(Janssen)的演讲费。T.K. 报告了Alfresa Pharma,Covidien,Eli Lilly,Ferring Pharmaceuticals,Janssen,Kyorin Pharmaceutical,Mochida Pharmaceutical,Nippon kyaku,pfizer,Takeda Pharmaceutical,Themo Scientific,Abbvie GK,Abbvie GK,Astrace of Pronmach,Nippare,Nippare,EA,EA KYA,EA KYA,EA KYAAK,NIPPON,EA KYAAK,NIPPON PHARMATICAN,NIPPON PHARMATICATIC三菱Tanabe Pharma,Zeria,Gilead Sciences,Janssen,Jimro,Abbvie GK,EA Pharma,Otsuka Holdings,Zeria,Kyorin Pharmaceutical,Mochida Pharmaceutical,Thermo Fisher,Thermo Fisher Scientific,Alfresa Pharma,Nippon Kyaku。 p.m.i. M.F. P.G.K. N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.T.K.报告了Alfresa Pharma,Covidien,Eli Lilly,Ferring Pharmaceuticals,Janssen,Kyorin Pharmaceutical,Mochida Pharmaceutical,Nippon kyaku,pfizer,Takeda Pharmaceutical,Themo Scientific,Abbvie GK,Abbvie GK,Astrace of Pronmach,Nippare,Nippare,EA,EA KYA,EA KYA,EA KYAAK,NIPPON,EA KYAAK,NIPPON PHARMATICAN,NIPPON PHARMATICATIC三菱Tanabe Pharma,Zeria,Gilead Sciences,Janssen,Jimro,Abbvie GK,EA Pharma,Otsuka Holdings,Zeria,Kyorin Pharmaceutical,Mochida Pharmaceutical,Thermo Fisher,Thermo Fisher Scientific,Alfresa Pharma,Nippon Kyaku。p.m.i. M.F. P.G.K. N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.p.m.i.M.F. P.G.K. N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.M.F.P.G.K. N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.P.G.K.N.K. 已从Janssen获得发言人费用。 W.A. A.J.Y.N.K.已从Janssen获得发言人费用。W.A.A.J.Y.A.J.Y.W. J. S. reports: research grants from Abbvie, Abivax, Arena Pharmaceuticals, Boehringer Ingelheim, Celgene, Genentech, Gilead Sciences, Glaxo Smith Kline, Janssen, Lilly, Pfizer, Prometheus Biosciences, Seres Therapeutics, Shire, Takeda, Theravance Biopharma; consulting fees from Abbvie, Abivax, Admirx, Alfasigma, Alimentiv (previously Robarts Clinical Trials, owned by Alimentiv Health Trust), Alivio Therapeutics, Allakos, Amgen, Applied Molecular Transport, Arena Pharmaceuticals, Bausch Health (Salix), Beigene, Bellatrix Pharmaceuticals, Boehringer Ingelheim, Boston药物,Bristol Meyers Squibb,Celgene,细胞训练,细胞,Cosmo Pharmaceuticals,Escalier Biosciences,Equillium,Equillium,Forbion,Genentech/Roche,Gilead Sciences,Glenmark Sciences,Glenmark Pharmaceuticals,Gossamer Bio,Gossamer Bio,Gossamer Bio,Immunic(Immunic Pharmace) Kyverna Therapeutics, Landos Biopharma, Lilly, Oppilan Pharma, Otsuka, Pandion Therapeutics, Pfizer, Progenity, Prometheus Biosciences, Prometheus Laboratories, Protagonists Therapeutics, Provention Bio, Reistone Biopharma, Seres Therapeutics, Shanghai Pharma Biotherapeutics, Shire, Shoreline Biosciences, Sublimity治疗剂,苏格达,武术,Theravance Biopharma,Thetis Pharmaceuticals,Tillotts Pharma,UCB,Vendata Biosciences,Ventyx Biosciences,Vimalan Biosciences,Vimalan Biosciences,Vivelix Pharmaceuticals,Vivreon Biosciences,Vivreon Biosciences,Zealand Pharma;以及来自Allakos,Beigene,Gossamer Bio,Oppilan Pharma,Prometheus Biosciences,Prometheus Laboratories Gropenity,Shoreline Biosciences,Ventyx Biosciences,Vimalan Biosciences,Vimalan Biosciences,Vivreon Biosciences的股票或股票期权。从Abvie,Janssen,Pfizer,Takeda,Ferring,Novartis,Novartis和Takeda和Pfizer的科学赠款中获得了咨询和演讲费。配偶:Iveric Bio-顾问,股票期权;后代 - 股票; Oppilan Pharma-顾问,股票期权; Prometheus Biosciences-员工,股票,股票期权;普罗米修斯实验室 - 股票,股票期权,顾问; Ventyx Biosciences - 股票,股票期权; Vimalan Biosciences - 股票,股票期权。报告了Abbvie,BMS,Celgene,Falk Pharma,Ferring,Gilead,MSD,Janssen,Janssen,Janssen,Pfizer,Takeda,Takeda,Theotts,Sapphire Medical,Sandoz,Shire,Warner Chilcott,Warner Chilcott,MSD,Pfizer,Takeeda和AbbBBBBBBBBBBBBBBB,GILA,GILE,GILE,GILE,GILA,GILE,GILE,sanire,sandoz,sandoz,sandoz,sandoz,sandoz,sandoz,sandoz医学, Janssen,Lilly,MSD,Pfizer,Pharmacosmos,Procise,Prometheus,Roche,Sandoz,Samsung Bioepis,Takeda,Topivert,Topivert,VH2,Vifor Pharma,Warner Chilcott。reports financial support for research from Abbvie, Amgen, Biogen, Janssen, Pfizer, and Takeda, consultancy fees from Abbvie, Boehringer-Ingelheim, Celltrion, Janssen, Lilly, Medtronic, MSD, Pfizer, Sandoz, Takeda and Thermo Fisher and speakers fees from Abbvie, Amgen, Biogen, Boehringer-ingelheim,Falk,Ferring,Janssen,Lamepro,MSD,Mylan,Pfizer,Sandoz,Takeda和Truvion Healthcare。D. D.曾担任MSD,Abbvie,Takeda,Pfizer,Janssen,Amgen,Biogen和Krka的发言人,顾问和顾问委员会成员。J.L received unrestricted grants from AbbVie, Almirall, Celgene, Eli Lilly, Janssen-Cilag, LEO Pharma, Novartis, UCB, speaker fees for AbbVie, Almirall, BMS, Janssen-Cilag, Pfizer, UCB and consultant fees for AbbVie, BMS, Celgene, Eli Lilly, Janssen-Cilag, LEO Pharma,Novartis和UCB。从Abbvie,Amgen,Arena Pharmaceuticals,Dynacare,Janssen,Merck,Novartis,Novartis,Pfizer,Sandoz,Takeda获得了咨询费。S.D.S.D.已从Prometheus Labs,Takeda,Arena Pharmaceuticals和Bristol Myers Squibb获得顾问/顾问委员会费用。曾担任Schering-plow,Abbvie,MSD,UCB Pharma,Ferring,Ferring,Cellerix,Cellerix,Takeda,Nycomed,Pharmacosmos,Actelion,Actelion,Actelion,Actelion,Actelion,Actelerman,Alphawasserman,Genentech,Genentech,Grunenthal,Pfizer,Pfizer,Pfizer and vocm andocm andocm andocm andocm and vocm,约翰逊(Johnson),尼克索(Nikkiso)欧洲Gmbh,Theravance。M.C.D. 从Janssen,Abbvie,Pfizer,Takeda,UCB,Celgene,BMS,Prometheus Biosciences,Arena,Lilly,Lilly和Abbvie,Abbvie,Pfizer,Janssen获得了顾问费。 L.P-B: grant support from AbbVie, MSD, Takeda, consulting fees from AbbVie, Janssen, Genentech, Ferring, Tillots, Pharmacosmos, Celltrion, Takeda, Boerhinger Ingelheim, Pfizer, Index Pharmaceuticals, Sandoz, Celgene, Biogen, Samsung Bioepis, Alma, Sterna, Nestle, Enterome, Allergan,MSD,Roche,Arena,Gilead,Hikma,Amga,Amgr,BMS,Vifor,Norgine; Mylan,Lilly,Fresenius,Oppilan Pharma,Sublimity Therapeutics,应用分子运输,OSE免疫治疗药,Enthera以及CTMA的股票或股票期权。 其余的作者没有什么可披露的。M.C.D.从Janssen,Abbvie,Pfizer,Takeda,UCB,Celgene,BMS,Prometheus Biosciences,Arena,Lilly,Lilly和Abbvie,Abbvie,Pfizer,Janssen获得了顾问费。L.P-B: grant support from AbbVie, MSD, Takeda, consulting fees from AbbVie, Janssen, Genentech, Ferring, Tillots, Pharmacosmos, Celltrion, Takeda, Boerhinger Ingelheim, Pfizer, Index Pharmaceuticals, Sandoz, Celgene, Biogen, Samsung Bioepis, Alma, Sterna, Nestle, Enterome, Allergan,MSD,Roche,Arena,Gilead,Hikma,Amga,Amgr,BMS,Vifor,Norgine; Mylan,Lilly,Fresenius,Oppilan Pharma,Sublimity Therapeutics,应用分子运输,OSE免疫治疗药,Enthera以及CTMA的股票或股票期权。其余的作者没有什么可披露的。
