Dr. Starpoli's Blog

New Surgical Therapy for GERD: The LINX Magnetic Bracelet

Posted by Anthony Starpoli on Apr 23, 2012 9:27:00 AM

A new laparoscopic therapy for reflux has been recently approved for the treat of reflux.  The procedure requires laparoscopic surgery (small incisions in the abdomen) in order to place this new device at the level of the lower esophageal sphincter.  Certain limitations will occur as the result of this procedure as will be discussed.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, hiatal hernia, TIF, LINX, GERD, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Hybrid GERD Surgery Performed at NYU Langone Medical Center

Posted by Anthony Starpoli on Oct 14, 2011 11:40:00 AM

On September 7th and October 13th, 2011, the first two combined laparoscopic and transoral antireflux procedures were performed at the New York Univerisity Langone Medical Center in New York City.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, hiatal hernia, TIF, fundoplication, GERD, LPR, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Much Greater Risk for Clostridium difficle with Reflux Therapy

Posted by Anthony Starpoli on Oct 7, 2011 6:47:00 PM

In a retrospective study from Japan, the chronic use of proton pump inhibitors (PPIs), often used in the treatment of GERD, was found to be associated with a greater than 3-fold increased risk of developing Clostridium difficile‚Äďassociated diarrhea (CDAD), Takatoshi Kitazawa, MD, assistant professor at Teikyo University in Tokyo, Japan, reported during a poster session at the 51st Interscience Conference on Antimicrobial Agents and Chemotherapy.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, diarrhea, TIF, GERD, nonacid reflux, EsophyX

Doctor Radio-SIRIUSXM and NYU Features Dr. Starpoli and TIF

Posted by Anthony Starpoli on Jun 21, 2011 7:47:00 AM


Today Dr. Starpoli will be hosted on the Doctor Radio show to discuss GERD and transoral incisionless fundoplication with EsophyX.  This procedure serves as an alternative to chronic, long-term drug therapy that millions of people world-wide must take to control their reflux.  Given new information on the perils of long-term drug therapy for reflux, antireflux surgery is being more considered every day.

Doctor Radio is a groundbreaking 24/7 national radio channel featuring live,

call-in shows hosted by leading NYU Langone Medical Center doctors from a vast

array of fields including: child psychology and psychiatry; sexual health;

plastic surgery; emergency room medicine; cancer; heart health; women's health;

dermatology; pediatrics; men's health; diet and nutrition; sports medicine;

psychiatry; and more.


SIRIUSXM and NYU have built a state-of-the-art broadcasting studio

in the lobby of the Manhattan-based NYU Langone Medical Center, bringing

listeners right into the middle of the medical world.

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Anthony A. Starpoli, MD | www.starpoli.com

TIF, doctor radio, GERD, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Antireflux Surgery and GERD Drug Therapy Achieve Similar Results

Posted by Anthony Starpoli on Jun 4, 2011 11:43:00 AM


 
A report was published in the May 18 issue ofA report was published in the May 18 issue of Journal of the American Medical Association. In, what is referred to as the LOTUS (Long-Term Usage of Esomeprazole vs Surgery for Treatment of Chronic GERD) study, remission rates at five years were 92% (95% CI 89 to 96) for patients on esomeprazole and 85% (95% CI 81 to 90, P=0.048) for those who had laparoscopic antireflux surgery, according to Jean-Paul Galmiche, MD, of Nantes University in France, and colleagues. 

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, TIF, fundoplication, GERD, nonacid reflux, EsophyX