Methods and instruments for treating GERD and haital hernia

摘要

The invention relates to an intraluminar method of treating a reflux disease in a patient by implanting a device comprising an movement restriction device that, when implanted in a patient, fills a volume in the patient's abdomen that is close to and at least partially above the patient's cardia when the patient is in a standing position. The invention further relates to a method of restoring the location of the cardia in a patient suffering from a reflux disease and to an instrument suitable to use with intraluminar method and/or restoration method. Also disclosed are instruments treating a patient suffering hiatal hernia and providing a movement restriction device to be invaginated in the stomach fundus wall.

主权项

1. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient's stomach notch in relation to the patient's diaphragm muscle, preventing the patient's cardia from sliding up through the patient's diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
introducing a gastroscope in the patient's oesophagus and into the patient's stomach; introducing an instrument in the oesophagus and into the stomach of the patient, the instrument being integrated in the gastroscope or being separate from the gastroscope; introducing the device into the stomach; providing, by means of the instrument, a pouch from the patient's stomach fundus wall; accommodating the device for preventing the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the supporting pressure against the patient's cardia sphincter muscle exerted from the patient's abdomen in accordance with one of the following two alternatives:
a) creating, by means of the instrument a pouch of a portion of the stomach fundus wall; and
introducing the device into the pouch; andb) providing the device; and
invaginating the device by creating the pouch around the device with sutures or staples to the stomach fundus wall.