Endoscopic treatments for GERD

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 o...

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Veröffentlicht in:Annals of the New York Academy of Sciences 2020-12, Vol.1482 (1), p.121-129
Hauptverfasser: Kushner, Bradley S., Awad, Michael M., Mikami, Dean J., Chand, Bipan B., Wai, Christina J., Murayama, Kenric M.
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container_issue 1
container_start_page 121
container_title Annals of the New York Academy of Sciences
container_volume 1482
creator Kushner, Bradley S.
Awad, Michael M.
Mikami, Dean J.
Chand, Bipan B.
Wai, Christina J.
Murayama, Kenric M.
description 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. In this concise review, we discuss the plethora of endoluminal therapies available for the treatment of gastroesophageal reflux disease (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. The known data surrounding the indications, benefits, and risks of these historical, current, and emerging approaches are reviewed in detail.
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subjects Ablation
Electric Stimulation - methods
Electrical stimuli
emerging technology
endoscopic therapy
Endoscopy
Esophageal sphincter
Esophageal Sphincter, Lower - physiopathology
Esophagoscopy - methods
Esophagus
flexible endoscopy
Fundoplication - methods
Gastroesophageal reflux
Gastroesophageal Reflux - therapy
GERD
Health services
Humans
Medical treatment
Morbidity
Polyvinyls - therapeutic use
Radio frequency
Radiofrequency ablation
Radiofrequency Ablation - methods
Sphincter
title Endoscopic treatments for GERD
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