Endoscopic Treatment of Refractory Gastroesohageal Reflux Disease

被引：10
|
作者：
Kim, Won Hee [1 ]
Park, Pil Won [1 ]
Hahm, Ki Baik [1 ]
Hong, Sung Pyo [1 ]
机构：
[1] CHA Univ, CHA Bundang Med Ctr, Digest Dis Ctr, 59 Yatap Ro, Seongnam 463712, South Korea
来源：
CLINICAL ENDOSCOPY | 2013年 / 46卷 / 03期
关键词：
Gastroesophageal reflux; Endoscopic treatment; Stretta; EsophyX;
D O I：
10.5946/ce.2013.46.3.230
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Though efficient acid suppression with proton pump inhibitors (PPIs) remains the mainstay of treatment of gastroesophageal reflux disease (GERD), some of the patients showed refractory response to PPIs, necessitating further intervention. After increasing dose of PPIs and other kinds of pharmacological intervention adopting prokinetics or others, variable endoscopic treatments are introduced for the treatment of these refractory cases. The detailed introduction regarding endoscopic treatment for GERD is forwarded in this review article. Implantation of reabsorbable or synthetic materials in the distal esophagus was tried in vain and is expelled from the market due to limited efficacy and serious complication. Radiofrequency energy delivery (Stretta) and transoral incisionless fundoplication (EsophyX) are actively tried currently.
引用
收藏
页码：230 / 234
页数：5
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