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Review
Submucosal endoscopy: the present and future
Zaheer Nabi, Duvvur Nageshwar Reddy
Clin Endosc 2023;56(1):23-37.   Published online January 9, 2023
DOI: https://doi.org/10.5946/ce.2022.139
AbstractAbstract PDFPubReaderePub
Submucosal endoscopy or third-space endoscopy utilizes the potential space between the mucosal and muscularis layers of the gastrointestinal tract to execute therapeutic interventions for various diseases. Over the last decade, endoscopic access to the submucosal space has revolutionized the field of therapeutic endoscopy. Submucosal endoscopy was originally used to perform endoscopic myotomy in patients with achalasia cardia, and its use has grown exponentially since. Currently, submucosal endoscopy is widely used to resect subepithelial tumors and to manage refractory gastroparesis and Zenker’s diverticulum. While the utility of submucosal endoscopy has stood the test of time in esophageal motility disorders and subepithelial tumors, its durability remains to be established in conditions such as Zenker’s diverticulum and refractory gastroparesis. Other emerging indications for submucosal endoscopy include esophageal epiphrenic diverticulum, Hirschsprung’s disease, and esophageal strictures not amenable to conventional endoscopic treatment. The potential of submucosal endoscopy to provide easy and safe access to the mediastinum and peritoneal spaces may open doors to novel indications and rejuvenate the interest of endoscopists in natural orifice transluminal endoscopic surgery in the future. This review focuses on the current spectrum, recent updates, and future direction of submucosal endoscopy in the gastrointestinal tract.

Citations

Citations to this article as recorded by  
  • Emerging indications for third space endoscopy
    Rahil H. Shah, Sunil Amin
    Best Practice & Research Clinical Gastroenterology.2024; : 101911.     CrossRef
  • Therapeutic endoscopy: Recent updates and future directions
    Zaheer Nabi, D. Nageshwar Reddy
    Digestive and Liver Disease.2024;[Epub]     CrossRef
  • Endoscopic full thickness resection: techniques, applications, outcomes
    Zaheer Nabi, D. Nageshwar Reddy
    Expert Review of Gastroenterology & Hepatology.2024; : 1.     CrossRef
  • The role of cap-assisted endoscopy and its future implications
    Sol Kim, Bo-In Lee
    Clinical Endoscopy.2024; 57(3): 293.     CrossRef
  • Precision Endoscopy in Peroral Myotomies for Motility Disorders of the Upper Gastrointestinal Tract: Current Insights and Prospective Avenues—A Comprehensive Review
    Francesco Vito Mandarino, Edoardo Vespa, Alberto Barchi, Ernesto Fasulo, Emanuele Sinagra, Francesco Azzolini, Silvio Danese
    Life.2023; 13(11): 2143.     CrossRef
  • An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
    Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
    Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
    Clinical Endoscopy.2023; 56(6): 744.     CrossRef
  • 3,148 View
  • 232 Download
  • 5 Web of Science
  • 7 Crossref
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Focused Review Series: Expanding Indication: Interventional Endoscopic Management for Pancreaticobiliary Diseases
Endoscopic Palliation for Biliary and Pancreatic Malignancies: Recent Advances
Zaheer Nabi, D. Nageshwar Reddy
Clin Endosc 2019;52(3):226-234.   Published online January 22, 2019
DOI: https://doi.org/10.5946/ce.2019.003
AbstractAbstract PDFPubReaderePub
Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of these cases are candidates for palliative care. With advances in chemotherapeutic agents and multidisciplinary care, the survival rate in pancreatobiliary malignancies has improved. Therefore, there is a need to provide an effective and long-lasting palliative care for these patients. Endoscopic palliation is preferred to surgery as the former is associated with equal efficacy and reduced morbidity. The main role of endoscopic palliation in the vast majority of pancreatobiliary malignancies includes biliary and enteral stenting for malignant obstructive jaundice and gastric outlet obstruction, respectively. Recent advances in endoscopic palliation appear promising in imparting long-lasting relief of symptoms. Use of radiofrequency ablation and photodynamic therapy in malignant biliary obstruction has been shown to improve the survival rates as well as the patency of biliary stents. The emergence of endoscopic ultrasound (EUS) as a therapeutic tool has enhanced the capability of minimally invasive palliation in pancreatobiliary cancers. EUS is a valuable alternative to endoscopic retrograde cholangiopancreatography for the palliation of obstructive jaundice. More recently, EUS is emerging as an effective primary modality for biliary and gastric bypass.

Citations

Citations to this article as recorded by  
  • International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
    Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
    Clinical Endoscopy.2024; 57(2): 141.     CrossRef
  • Palliative Interventions and Best Supportive Care in Biliary Malignancy
    Christine Chung, Lauren Wancata
    Surgical Clinics of North America.2024;[Epub]     CrossRef
  • Gamma-Glutamyl Transferase: A Friend against Cholestatic Itch? A Retrospective Observational Data Analysis in Patients with Extrahepatic Cholestasis
    Floris W. Haijer, Cornelis B. Van Vliet, Marjolein G. J. Brusse-Keizer, Job A. M. Van der Palen, Marjo J. Kerbert-Dreteler, Jeroen J. Kolkman, Dirk Uhlmann
    International Journal of Hepatology.2023; 2023: 1.     CrossRef
  • Endoscopic and Endosonographic Palliation for Triple Obstruction Caused by Recurrent Gallbladder Cancer: A Case Report
    Young Rong Kim, Chi Hyuk Oh, Min Jae Yang
    The Korean Journal of Pancreas and Biliary Tract.2023; 28(1): 19.     CrossRef
  • Endoscopic Management of Pancreatobiliary Malignancies
    Dong Wook Lee, Eun Young Kim
    Digestive Diseases and Sciences.2022; 67(5): 1635.     CrossRef
  • Angle of covered self-expandable metallic stents after placement is a risk factor for recurrent biliary obstruction
    Kojiro Tanoue, Hirotsugu Maruyama, Yuki Ishikawa-Kakiya, Yosuke Kinoshita, Kappei Hayashi, Masafumi Yamamura, Masaki Ominami, Yuji Nadatani, Shusei Fukunaga, Koji Otani, Shuhei Hosomi, Fumio Tanaka, Noriko Kamata, Yasuaki Nagami, Koichi Taira, Toshio Wata
    World Journal of Hepatology.2022; 14(5): 993.     CrossRef
  • Angle of covered self-expandable metallic stents after placement is a risk factor for recurrent biliary obstruction
    Kojiro Tanoue, Hirotsugu Maruyama, Yuki Ishikawa-Kakiya, Yosuke Kinoshita, Kappei Hayashi, Masafumi Yamamura, Masaki Ominami, Yuji Nadatani, Shusei Fukunaga, Koji Otani, Shuhei Hosomi, Fumio Tanaka, Noriko Kamata, Yasuaki Nagami, Koichi Taira, Toshio Wata
    World Journal of Hepatology.2022; 14(5): 992.     CrossRef
  • Pancreatic Cancer: Challenges and Opportunities in Locoregional Therapies
    Alaa Y. Bazeed, Candace M. Day, Sanjay Garg
    Cancers.2022; 14(17): 4257.     CrossRef
  • Endoscopic retrograde cholangiopancreatography: Current practice and future research
    David J Sanders, Shivanand Bomman, Rajesh Krishnamoorthi, Richard A Kozarek
    World Journal of Gastrointestinal Endoscopy.2021; 13(8): 260.     CrossRef
  • Early malfunction of a biliary self-expandable metal stent with an antireflux valve
    Sang Hoon Kim, Chi Hyuk Oh, Jae Min Lee, Seong Ji Choi, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hoon Jai Chun, Hong Sik Lee, Chang Duck Kim
    Medicine.2020; 99(16): e19750.     CrossRef
  • Endosonography-guided Radiofrequency Ablation in Pancreatic Diseases
    Giuseppe Vanella, Gabriele Capurso, Paolo G. Arcidiacono
    Journal of Clinical Gastroenterology.2020; 54(7): 591.     CrossRef
  • Efficacy and safety of radiofrequency ablation in patients with unresectable malignant biliary strictures
    Martha Claudia Galindo Orozco, Angélica Hernández Guerrero, Juan Octavio Alonso Larraga, Eduardo Ramírez Solis, José Guillermo de la Mora Levy, María del Carmen Manzano Robleda
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • 6,347 View
  • 312 Download
  • 9 Web of Science
  • 12 Crossref
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Review
Endoscopic Management of Combined Biliary and Duodenal Obstruction
Zaheer Nabi, D. Nageshwar Reddy
Clin Endosc 2019;52(1):40-46.   Published online January 10, 2019
DOI: https://doi.org/10.5946/ce.2018.102
AbstractAbstract PDFPubReaderePub
Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combined obstruction is particularly poor. Therefore, minimally invasive palliation is preferred in these patients to avoid morbidity associated with surgery. Endoscopic palliation is preferred to surgical bypass due to similar efficacy, less morbidity, and shorter hospital stay. The success of endoscopic palliation depends on the type of bilioduodenal stenosis and the presence of previously placed duodenal metal stents. Biliary cannulation is difficult in type II bilioduodenal strictures where the duodenal stenosis is located at the level of the papilla. Consequentially, technical and clinical success is lower in these patients than in those with type I and III bilioduodenal strictures. However, in cases with failure of endoscopic retrograde cholangiopancreatography, with the introduction of endoscopic ultrasound for biliary drainage, the success of endoscopic bilioduodenal bypass is likely to increase further. The safety and efficacy of endoscopic ultrasound-guided drainage has been documented in multiple studies. With the development of dedicated accessories and standardization of drainage techniques, the role of endoscopic ultrasound is likely to expand further in cases with double obstruction.

Citations

Citations to this article as recorded by  
  • Combined endoscopic mAnagement of BiliaRy and gastrIc OutLET obstruction (CABRIOLET Study): A multicenter retrospective analysis
    Giuseppe Vanella, Michiel Bronswijk, Roy LJ van Wanrooij, Giuseppe Dell'Anna, Wim Laleman, Hannah van Malenstein, Rogier P Voermans, Paul Fockens, Schalk Van der Merwe, Paolo Giorgio Arcidiacono
    DEN Open.2023;[Epub]     CrossRef
  • Clinical presentation and outcomes of pancreatic cancer at a tertiary care hospital in the sub-Himalayan region: A retrospective observational study
    Amit Gupta, Deepak Rajput, Shyam Karuppusamy Krishnasamy, Oshin Sharma, Rahul Mishra, Amoli Tandon, Sweety Gupta
    Cancer Research, Statistics, and Treatment.2023; 6(1): 44.     CrossRef
  • Efficacy and safety of endoscopic duodenal stent versus endoscopic or surgical gastrojejunostomy to treat malignant gastric outlet obstruction: systematic review and meta-analysis
    Rajesh Krishnamoorthi, Shivanand Bomman, Petros Benias, Richard A. Kozarek, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Shayan S. Irani
    Endoscopy International Open.2022; 10(06): E874.     CrossRef
  • Concomitant endoscopic biliary, duodenal and colonic stent placement for advanced carcinoma of gall bladder
    Sridhar Sundaram, Sidharth Harindranath, Praveen Kumar Rao, Nitin Ramani, Aditya Kale, Shraddha Patkar
    International Journal of Gastrointestinal Intervention.2021; 10(4): 196.     CrossRef
  • Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: Definitions, Risk Factors, and Implications
    Brian M. Fung, Teodor C. Pitea, James H. Tabibian
    EMJ Hepatology.2021; : 64.     CrossRef
  • Endoscopic management of malignant gastric outlet obstruction
    Anish Patel, Amrita Sethi
    Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(4): 220.     CrossRef
  • 6,940 View
  • 215 Download
  • 5 Web of Science
  • 6 Crossref
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Focused Review Series: Endoscopy in Children
Advanced Therapeutic Gastrointestinal Endoscopy in Children – Today and Tomorrow
Zaheer Nabi, Duvvur Nageshwar Reddy
Clin Endosc 2018;51(2):142-149.   Published online December 12, 2017
DOI: https://doi.org/10.5946/ce.2017.102
AbstractAbstract PDFPubReaderePub
Gastrointestinal (GI) endoscopy plays an indispensable role in the diagnosis and management of various pediatric GI disorders. While the pace of development of pediatric GI endoscopy has increased over the years, it remains sluggish compared to the advancements in GI endoscopic interventions available in adults. The predominant reasons that explain this observation include lack of formal training courses in advanced pediatric GI interventions, economic constraints in establishing a pediatric endoscopy unit, and unavailability of pediatric-specific devices and accessories. However, the situation is changing and more pediatric GI specialists are now performing complex GI procedures such as endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography for various pancreatico-biliary diseases and more recently, per-oral endoscopic myotomy for achalasia cardia. Endoscopic procedures are associated with reduced morbidity and mortality compared to open surgery for GI disorders. Notable examples include chronic pancreatitis, pancreatic fluid collections, various biliary diseases, and achalasia cardia for which previously open surgery was the treatment modality of choice. A solid body of evidence supports the safety and efficacy of endoscopic management in adults. However, additions continue to be made to literature describing the pediatric population. An important consideration in children includes size of children, which in turn determines the selection of endoscopes and type of sedation that can be used for the procedure.

Citations

Citations to this article as recorded by  
  • Endoscopic ultrasound-guided drainage of peripancreatic fluid collections: What impacts treatment duration?
    Adam Przybyłkowski, Piotr Nehring
    Hepatobiliary & Pancreatic Diseases International.2023; 22(3): 310.     CrossRef
  • Echo-Endoscopy Combined with Virtual Reality: A Whole Perspective of Laparoscopic Common Bile Duct Exploration in Children
    Francesca Destro, Raffaele Salerno, Valeria Calcaterra, Sandro Ardizzone, Milena Meroni, Margherita Roveri, Ugo Maria Pierucci, Alberta Zaja, Francesco Rizzetto, Alessandro Campari, Maurizio Vertemati, Paolo Milani, Gloria Pelizzo
    Children.2023; 10(4): 760.     CrossRef
  • A National Survey of the Training and Practice Patterns of Practicing Pediatric Advanced Endoscopists in the United States
    Christopher Chu, Paul Tran, Christopher Moreau, Jacob A. Mark, Robert E. Kramer, Travis L. Piester
    Journal of Pediatric Gastroenterology & Nutrition.2023; 77(3): 407.     CrossRef
  • Endoscopic Ultrasound-guided Hepaticogastrostomy in a Seven-year-old Girl
    Shigeto Ishii, Hiroyuki Koga, Hiroaki Saito, Shogo Seo, Mako Ushio, Sho Takahashi, Yusuke Takasaki, Akinori Suzuki, Koichi Ito, Kazushige Ochiai, Ko Tomishima, Toshio Fujisawa, Atsuyuki Yamataka, Shuichiro Shiina, Hiroyuki Isayama
    Internal Medicine.2022; 61(23): 3521.     CrossRef
  • Interventional endoscopy for abdominal transplant patients
    Tom K. Lin, Maisam Abu-El-Haija, Juan P. Gurria, Michelle Saad, David S. Vitale
    Seminars in Pediatric Surgery.2022; 31(3): 151190.     CrossRef
  • Acute recurrent and chronic pancreatitis in children
    Mitsuyoshi Suzuki, Kei Minowa, Hiroyuki Isayama, Toshiaki Shimizu
    Pediatrics International.2021; 63(2): 137.     CrossRef
  • Evolution in the Practice of Pediatric Endoscopy and Sedation
    Conrad B. Cox, Trevor Laborda, J. Matthew Kynes, Girish Hiremath
    Frontiers in Pediatrics.2021;[Epub]     CrossRef
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    Travis L. Piester, Quin Y. Liu
    Frontiers in Pediatrics.2021;[Epub]     CrossRef
  • The Roles of Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography in the Evaluation and Treatment of Chronic Pancreatitis in Children
    Quin Y. Liu, Roberto Gugig, David M. Troendle, Samuel Bitton, Nishant Patel, David S. Vitale, Maisam Abu‐El‐Haija, Sohail Z. Husain, Veronique D. Morinville
    Journal of Pediatric Gastroenterology and Nutrition.2020; 70(5): 681.     CrossRef
  • Genetic Abnormalities in Pancreatitis: An Update on Diagnosis, Clinical Features, and Treatment
    Mitsuyoshi Suzuki, Kei Minowa, Satoshi Nakano, Hiroyuki Isayama, Toshiaki Shimizu
    Diagnostics.2020; 11(1): 31.     CrossRef
  • Outcome of radiological interventions in pediatric gastrointestinal diseases: A large tertiary center experience
    Zaheer Nabi, Jagadeesh R Singh, Arafat Haris, Upender Shava, Radhika Chavan, Duvvur Nageshwar Reddy
    JGH Open.2019; 3(2): 140.     CrossRef
  • Choledocholithiasis treated with a pediatric duodenoscope in a neonate
    Akihiko Kida, Koichiro Matsuda, Akito Sakai
    Digestive Endoscopy.2019; 31(3): 334.     CrossRef
  • INTRALUMINAL ENDOSCOPY IN CHILDREN - PAST, PRESENT, FUTURE
    Maksim M. Lokhmatov, T. N. Budkina, V. I. Oldakovsky, A. V. Tupylenko, S. I. Ibragimov
    Russian Pediatric Journal.2019; 21(4): 230.     CrossRef
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    Journal of Pediatric Gastroenterology and Nutrition.2019; 69(3): 273.     CrossRef
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    D Kohoutova, A Tringali, G Papparella, V Perri, I Boškoski, J Hamanaka, G Costamagna
    United European Gastroenterology Journal.2019; 7(2): 270.     CrossRef
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    Claudia Della Corte, Simona Faraci, Fabio Majo, Vincenzina Lucidi, Douglas S. Fishman, Valerio Nobili
    Digestive and Liver Disease.2018; 50(9): 886.     CrossRef
  • 6,884 View
  • 228 Download
  • 14 Web of Science
  • 16 Crossref
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Review
Endoscopic Management of Gastroesophageal Reflux Disease: Revisited
Zaheer Nabi, D. Nageshwar Reddy
Clin Endosc 2016;49(5):408-416.   Published online September 30, 2016
DOI: https://doi.org/10.5946/ce.2016.133
AbstractAbstract PDFPubReaderePub
Gastroesophageal reflux disease (GERD) is defined by the presence of troublesome symptoms resulting from the reflux of gastric contents. The prevalence of GERD is increasing globally. An incompetent lower esophageal sphincter underlies the pathogenesis of GERD. Proton pump inhibitors (PPIs) form the core of GERD management. However, a substantial number of patients do not respond well to PPIs. The next option is anti-reflux surgery, which is efficacious, but it has its own limitations, such as gas bloating, inability to belch or vomit, and dysphagia. Laparoscopic placement of magnetic augmentation device is emerging as a useful alternative to conventional anti-reflux surgery. However, invasiveness of a surgical procedure remains a concern for the patients. The proportion of PPI non-responders or partial responders who do not wish for anti-reflux surgery defines the ‘treatment gap’ and needs to be addressed. The last decade has witnessed the fall and rise of many endoscopic devices for GERD. Major endoscopic strategies include radiofrequency ablation and endoscopic fundoplication devices. Current endoscopic devices score high on subjective improvement, but have been unimpressive in objective improvement like esophageal acid exposure. In this review, we discuss the current endoscopic anti-reflux therapies and available evidence for their role in the management of GERD.

Citations

Citations to this article as recorded by  
  • Frontiers in Endoscopic Treatment for Gastroesophageal Reflux Disease
    Kazuhiro Ota, Toshihisa Takeuchi, Kazuhide Higuchi, Shun Sasaki, Yosuke Mori, Hironori Tanaka, Akitoshi Hakoda, Noriaki Sugawara, Taro Iwatsubo, Hiroki Nishikawa
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    Trevor A Davis, C Prakash Gyawali
    Journal of Neurogastroenterology and Motility.2024; 30(1): 17.     CrossRef
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    Yannick Fringeli, Ioannis Linas, Ulf Kessler, Joerg Zehetner
    Langenbeck's Archives of Surgery.2024;[Epub]     CrossRef
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    Diana I. Rapolti, Manuela Monrabal Lezama, Emiliano G. Manueli Laos, Francisco Schlottmann, Mario A. Masrur
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2024;[Epub]     CrossRef
  • Therapeutic endoscopy: Recent updates and future directions
    Zaheer Nabi, D. Nageshwar Reddy
    Digestive and Liver Disease.2024;[Epub]     CrossRef
  • Antitussive efficacy of the current treatment protocol for refractory chronic cough: our real-world experience in a retrospective cohort study
    Mengru Zhang, Alyn H. Morice, Fengli Si, Li Zhang, Qiang Chen, Shengyuan Wang, Yiqing Zhu, Xianghuai Xu, Li Yu, Zhongmin Qiu
    Therapeutic Advances in Respiratory Disease.2023; 17: 175346662311677.     CrossRef
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    Rakesh Kalapala, Neeraj Singla, Duvvur Nageshwar Reddy
    Digestive Endoscopy.2022; 34(4): 687.     CrossRef
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    Shiko Kuribayashi, Hiroko Hosaka, Fumihiko Nakamura, Ko Nakata, Keigo Sato, Yuki Itoi, Yu Hashimoto, Kengo Kasuga, Hirohito Tanaka, Toshio Uraoka
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    Digestive Endoscopy.2021; 33(3): 464.     CrossRef
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    Fahmi Shibli, Ronnie Fass
    Current Treatment Options in Gastroenterology.2021; 19(3): 399.     CrossRef
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    Epilepsy & Behavior.2021; 122: 108124.     CrossRef
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    Current Gastroenterology Reports.2020;[Epub]     CrossRef
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    Kenneth R. DeVault
    Gastrointestinal Endoscopy.2019; 89(1): 23.     CrossRef
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    Zaheer Nabi, Mohan Ramchandani, D. Nageshwar Reddy
    Indian Journal of Gastroenterology.2019; 38(4): 287.     CrossRef
  • Editor’s Pick: Refractory Gastroesophageal Reflux Disease: Pathophysiology, Diagnosis, and Management
    Zaheer Nabi, Arun Karyampudi, D. Nageshwar Reddy
    EMJ Gastroenterology.2019; : 62.     CrossRef
  • Comparing the Effect of Psyllium Seed on Gastroesophageal Reflux Disease With Oral Omeprazole in Patients With Functional Constipation
    Mousalreza Hosseini, Roshanak Salari, Mina Akbari Rad, Maryam Salehi, Batul Birjandi, Masoumeh Salari
    Journal of Evidence-Based Integrative Medicine.2018; 23: 2515690X1876329.     CrossRef
  • Evaluating an effectiveness of surgical treatment of gastroesophageal reflux disease combined with hiatal hernia
    V. V. Mozharovskiy, A. A. Tsyganov, K. V. Mozharovskiy, A. A. Tarasov
    Khirurgiya. Zhurnal im. N.I. Pirogova.2017; (6): 28.     CrossRef
  • 19,317 View
  • 590 Download
  • 27 Web of Science
  • 26 Crossref
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