Endoscopic treatments for GERD

Autor: Bipan Chand, Michael M. Awad, Christina J. Wai, Bradley S. Kushner, Dean J. Mikami, Kenric M. Murayama
Rok vydání: 2020
Předmět:
Zdroj: Annals of the New York Academy of Sciences. 1482:121-129
ISSN: 1749-6632
0077-8923
DOI: 10.1111/nyas.14511
Popis: Gastroesophageal reflux disease (GERD) is a condition with increasing prevalence and morbidity in the United States and worldwide. Despite advances in medical and surgical therapy over the last 30 years, gaps remain in the therapeutic profile of options. Flexible upper endoscopy offers the promise of filling in these gaps in a potentially minimally invasive approach. In this concise review, we focus on the plethora of endoluminal therapies available for the treatment of GERD. Therapies discussed include injectable agents, electrical stimulation of the lower esophageal sphincter, antireflux mucosectomy, radiofrequency ablation, and endoscopic suturing devices designed to create a fundoplication. As new endoscopic treatments become available, we come closer to the promise of the incisionless treatment of GERD. The known data surrounding the indications, benefits, and risks of these historical, current, and emerging approaches are reviewed in detail.
Databáze: OpenAIRE
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