Endoscopic approaches to gastroesophageal reflux disease. Issue 5 (September 2021)

• Record Type: Journal Article
• Authors: Zhang, Linda Yun; Canto, Marcia Irene
• Is Part Of: Current opinion in gastroenterology. Volume 37:Issue 5(2021)
• Publication Date: 2021-09
• Subjects: endoluminal therapy -- endoscopic plication -- gastroesophageal reflux disease -- radiofrequency ablation -- transoral incisionless fundoplication; Gastroenterology -- Periodicals; 616.33
• DOI: 10.1097/MOG.0000000000000759
• Languages: English
• ISSNs: 0267-1379

Abstract

Abstract : Purpose of review: Gastroesophageal reflux disease (GERD) is one of the most common chronic conditions affecting adults. A substantial proportion of patients continue to have symptoms despite medical therapy, and there has been increased demand for minimally invasive GERD therapy. We will examine currently available techniques and outcomes data on endoscopic approaches to the treatment of GERD. Recent findings: In the last 2 years, research has given rise to more robust understanding of not only the pathophysiology of GERD but also how to better manage the various phenotypes. We are learning the ideal patient to benefit from endoscopic GERD therapy. In this review, we describe the four major endoluminal techniques for treating GERD and summarize current data. Summary: Endoscopic therapies are well positioned to fill the 'therapy gap' between medical therapy and more invasive surgical procedures.