Critical Assessment of Endoscopic Techniques for Gastroesophageal Reflux Disease

被引:23
作者
Lo, Wai-Kit [1 ,2 ,3 ]
Mashimo, Hiroshi [1 ,3 ]
机构
[1] VA Boston Healthcare Syst, Dept Gastroenterol, West Roxbury, MA 02132 USA
[2] Brigham & Womens Hosp, Div Gastroenterol Hepatol & Endoscopy, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Boston, MA USA
关键词
gastroesophageal reflux disease; advanced endoscopic techniques; radiofrequency; endoscopic placation; injectable bulking agents; TRANSORAL INCISIONLESS FUNDOPLICATION; RADIOFREQUENCY ENERGY DELIVERY; LOWER ESOPHAGEAL SPHINCTER; FULL-THICKNESS PLICATION; LAPAROSCOPIC ANTIREFLUX SURGERY; SHAM-CONTROLLED TRIAL; RANDOMIZED CLINICAL-TRIAL; PUMP INHIBITOR THERAPY; LONG-TERM FAILURE; STRETTA RADIOFREQUENCY;
D O I
10.1097/MCG.0000000000000389
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Over the past 2 decades, a number of new endoscopic techniques have been developed for management of gastroesophageal (GE) reflux disease symptoms as alternatives to medical management and surgical fundoplication. These devices include application of radiofrequency treatment (Stretta), endoscopic plication (EndoCinch, Plicator, Esophyx, MUSE), and injection of bulking agents (Enteryx, Gatekeeper, Plexiglas, Duragel). Their goal was symptom relief through reduction of tissue compliance and enhancement of anatomic resistance at the GE junction. In this review, we critically assess the research behind the efficacy, safety, and durability of these treatments to better understand their roles in contemporary GE reflux disease management.
引用
收藏
页码:720 / 724
页数:5
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