Endoscopic Full‐Thickness Plication for the Treatment of Gastroesophageal Reflux Disease: A Systematic Review and Meta‐Analysis of Randomized Sham Controlled Trials
ABSTRACT Introduction Gastroesophageal reflux disease (GERD) affects approximately 20% of adults in the United States. Proton pump inhibitors are the first‐line treatment but are associated with long‐term side effects. Endoscopic full‐thickness plication (EFTP) is a minimally invasive alternative th...
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Veröffentlicht in: | JGH open 2024-11, Vol.8 (11), p.e70056-n/a |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | ABSTRACT
Introduction
Gastroesophageal reflux disease (GERD) affects approximately 20% of adults in the United States. Proton pump inhibitors are the first‐line treatment but are associated with long‐term side effects. Endoscopic full‐thickness plication (EFTP) is a minimally invasive alternative that improves the valvular mechanism of the gastroesophageal junction. This meta‐analysis compared EFTP to a sham procedure for the treatment of refractory GERD.
Materials and Methods
This meta‐analysis followed the Cochrane guidelines and PRISMA standards and was registered with PROSPERO (CRD42023485506). We searched MEDLINE, Embase, SCOPUS, and Cochrane Library through December 2023. Inclusion criteria targeted Randomized controlled trials comparing EFTP with sham procedures for GERD were included. Statistical analyses utilized RevMan with a random‐effects model, and the results were considered significant at p |
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ISSN: | 2397-9070 2397-9070 |
DOI: | 10.1002/jgh3.70056 |