Endoluminal gastroplication for gastro-oesophageal reflux disease
Summary
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on on endoluminal gastroplication for gastro-oesophageal reflux disease.
NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result. Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below.
The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an Interventional Procedures Consultation Document about its safety and efficacy for 4 weeks public consultation. IPAC will then review the consultation document in the light of comments received and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
If you wish to be updated to any developments with this procedure, you can express an interest here.
Description
In patients with gastro-oesophageal reflux disease (GORD), the contents of the stomach go backwards towards or into the mouth again (this is called reflux). The person feels heartburn because the stomach contents are acidic. GORD happens because the ring of muscle that keeps the stomach contents down isn’t working properly.
Endoluminal gastroplication uses a special viewing tube gently put down into the vessel that runs from the mouth to the stomach (the person’s oesophagus). Working through this tube, the surgeon uses a piece of equipment to sew and create pleats in the sphincter at the lower end of the oesophagus. The aim is to make it harder for the stomach contents to re-enter the oesophagus so that there is less reflux.
OPCS code:
G46.1 Fibreoptic endoscopic endoluminal plication of gastro-esophageal junction
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding
Details
Surgical procedures
Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland
Association of Endoscopic Surgeons of Great Britain and Ireland
British Society of Gastroenterology
Contact details:
(for general enquiries or comments)
(for procedure specific enquiries or comments)
ip@nice.org.uk
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
