Therapeutic Endoscopy and the Esophagus: State of the Art and Future Directions

Gastroenterol Clin North Am. 2021 Dec;50(4):935-958. doi: 10.1016/j.gtc.2021.08.007. Epub 2021 Oct 6.

Abstract

Therapeutic gastrointestinal endoscopy is rapidly evolving, and this evolution is quite apparent for esophageal diseases. Minimally invasive endoluminal therapy now allows outpatient treatment of many esophageal diseases that were traditionally managed surgically. In this review article, we explore the most exciting new developments. We discuss the use of peroral endoscopic myotomy for treatment of achalasia and other related diseases, as well as the modifications that have allowed its use in treatment of Zenker diverticulum. We cover endoscopic treatment of gastroesophageal reflux disease and Barrett's esophagus. Further, we explore advanced endoscopic resection techniques.

Keywords: Achalasia; Barrett’s esophagus; Endoscopic submucosal dissection; Gastroesophageal reflux disease; Peroral endoscopic myotomy; Submucosal tunneling endoscopic resection; Transoral incisionless fundoplication; Zenker diverticulum.

Publication types

  • Review

MeSH terms

  • Barrett Esophagus* / diagnosis
  • Barrett Esophagus* / surgery
  • Endoscopy, Gastrointestinal
  • Esophageal Achalasia* / diagnosis
  • Esophageal Achalasia* / surgery
  • Gastroesophageal Reflux* / diagnosis
  • Gastroesophageal Reflux* / surgery
  • Humans