Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time

Gastroesophageal reflux disease affects a significant portion of the North American population on a weekly and daily basis. Options, especially for erosive disease, involve long-term proton pump inhibitors or surgical fundoplication. More recently, a number of endoscopic antireflux techniques have b...

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Main Author: Joseph Romagnuolo
Format: Article
Language:English
Published: Hindawi Limited 2004-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2004/389216
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spelling doaj-3f328a7359ef4cda93a6ea89cfdb022a2020-11-25T00:30:08ZengHindawi LimitedCanadian Journal of Gastroenterology0835-79002004-01-0118957357710.1155/2004/389216Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime TimeJoseph RomagnuoloGastroesophageal reflux disease affects a significant portion of the North American population on a weekly and daily basis. Options, especially for erosive disease, involve long-term proton pump inhibitors or surgical fundoplication. More recently, a number of endoscopic antireflux techniques have been assessed. These fall into three broad categories: the Stretta (radiofrequency); endoscopic suturing and plication devices; and injectable bulking agents. In the present summary, the literature on these endoscopic techniques is critically reviewed, highlighting the unimpressive efficacy, potential and real complications, and the relevant methodological limitations of the studies. Although they are promising, it is clear that these procedures are still in a preliminary study phase and not ready for 'prime time' clinical use.http://dx.doi.org/10.1155/2004/389216
collection DOAJ
language English
format Article
sources DOAJ
author Joseph Romagnuolo
spellingShingle Joseph Romagnuolo
Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
Canadian Journal of Gastroenterology
author_facet Joseph Romagnuolo
author_sort Joseph Romagnuolo
title Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
title_short Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
title_full Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
title_fullStr Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
title_full_unstemmed Endoscopic 'Antireflux' Procedures: Not Yet Ready For Prime Time
title_sort endoscopic 'antireflux' procedures: not yet ready for prime time
publisher Hindawi Limited
series Canadian Journal of Gastroenterology
issn 0835-7900
publishDate 2004-01-01
description Gastroesophageal reflux disease affects a significant portion of the North American population on a weekly and daily basis. Options, especially for erosive disease, involve long-term proton pump inhibitors or surgical fundoplication. More recently, a number of endoscopic antireflux techniques have been assessed. These fall into three broad categories: the Stretta (radiofrequency); endoscopic suturing and plication devices; and injectable bulking agents. In the present summary, the literature on these endoscopic techniques is critically reviewed, highlighting the unimpressive efficacy, potential and real complications, and the relevant methodological limitations of the studies. Although they are promising, it is clear that these procedures are still in a preliminary study phase and not ready for 'prime time' clinical use.
url http://dx.doi.org/10.1155/2004/389216
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