Endoscopic management of gastroesophageal reflux disease in 2012: What works and what doesn′t

Abstract

Gastroesophageal reflux disease results primarily from the loss of an effective antireflux barrier, which forms a mechanical barrier against the retrograde movement of gastric contents. Multiple devices have been developed for the endoscopic treatment of GERD, using approaches such as sewing, transmural fasteners, endoscopic staplers, and thermal treatment. Devices that are currently commercially available for the endoscopic treatment of GERD in the US include: EndoCinch; EsophyX; Stretta. This article will highlight the endoscopic therapy of gastroesophageal reflux disease with focus on Stretta and EsophyX.

Keywords

• endoluminal radiofrequency ablative technology
• gastroesophageal reflux disease
• fundoplication
• stretta procedure