Endoscopic Treatment of Gastroesophageal Reflux Disease

William S Richardson; Jessica Koller Gorham; Nicole Neal; Robert D Fanelli

doi:10.1016/j.yasu.2022.04.001

Endoscopic Treatment of Gastroesophageal Reflux Disease

Adv Surg. 2022 Sep;56(1):205-227. doi: 10.1016/j.yasu.2022.04.001.

Authors

William S Richardson¹, Jessica Koller Gorham², Nicole Neal², Robert D Fanelli³

Affiliations

¹ Ochsner Clinic, 1514 Jefferson Highway, New Orleans, LA 70121, USA; University of Queensland, Brisbane, Australia. Electronic address: wrichardson@ochsner.org.
² Ochsner Clinic, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
³ Department of Surgery, The Guthrie Clinic, One Guthrie Square, Sayre, PA 18840, USA; Geisinger Commonwealth School of Medicine, Sayre, PA, USA.

PMID: 36096568
DOI: 10.1016/j.yasu.2022.04.001

Abstract

There have been many devices and ideas to treat reflux disease endoscopically. Several devices have been tried and even FDA approved but now are no longer used. The push for these therapies is to find effective reflux control with lower risk and faster recovery. In this article we describe an endoscopic suturing device (TIF), radiofrequency device (Stretta) and a newer technique that has a lot of promise called antireflux mucosectomy. All these procedures seem to help control reflux at a minimum of morbidity given current information. As reflux is so prevalent a shift to these techniques for appropriate patients is likely to improve patient care.

Keywords: Antireflux mucosectomy; Antireflux operation; Endoscopic antireflux surgery; TIF Stretta; Transoral incisionless fundoplication.

Publication types

Review

MeSH terms

Endoscopy
Fundoplication
Gastroesophageal Reflux* / surgery
Humans
Suture Techniques