eISSN  2234-2443
pISSN  2234-2400
  |   Clin Endosc_46_3_230_234.pdf
Clin Endosc. 2013 May;46(3):230-234.
Copyright ⓒ 2013 Clinical Endoscopy
Endoscopic Treatment of Refractory Gastroesohageal Reflux Disease
Won Hee Kim, Pil Won Park, Ki Baik Hahm and Sung Pyo Hong
Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea
Corresponding Author: Sung Pyo Hong , Tel: +82-31-780-5220 , Fax: +82-31-780-5219 , Email: sphong@cha.ac.kr
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.
Keywords: Gastroesophageal reflux; Endoscopic treatment; Stretta; EsophyX
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