Anti-reflux mucosectomy (ARMS) for refractory gastroesophageal reflux disease

Eur J Med Res. 2024 Mar 18;29(1):185. doi: 10.1186/s40001-024-01789-5.

Abstract

Gastroesophageal reflux disease (GERD) is one of the most common diseases seen by gastroenterologists worldwide. A significant proportion of patients have a suboptimal response to acid inhibitors, especially proton pump inhibitors and potassium-competitive acid blockers. Due to concerns regarding the safety of long-term medication, many patients are unwilling to take lifelong medication. Endoscopic antireflux management offers a minimally invasive option for GERD patients. In recent decades, there have been several endoscopic antireflux therapies, including radiofrequency therapy, transoral fundoplication, and mucosal resection or mucosal ablation. Of these, antireflux mucosectomy (ARMS) is an effective and safe therapy for refractory GERD. This review provides an updated summary of antireflux mucosectomy.

Keywords: Anti-reflux mucosectomy; Endoscopic antireflux therapy; Refractory gastroesophageal reflux disease.

Publication types

  • Review

MeSH terms

  • Endoscopy
  • Fundoplication
  • Gastroesophageal Reflux* / drug therapy
  • Gastroesophageal Reflux* / surgery
  • Humans
  • Treatment Outcome