AI Article Synopsis
- The review highlights current trends in nonmedical treatments for gastroesophageal reflux disease (GERD) and examines the effectiveness of various surgical options.
- Long-term studies show many GERD patients treated with transoral incisionless fundoplication (TIF) still need proton pump inhibitors, while magnetic sphincter augmentation (MSA) offers good short-term satisfaction and results with fewer side effects.
- Fundoplication is recommended for complicated cases, but MSA is suggested as a safer alternative for uncomplicated GERD, while TIF is suitable for patients who are hesitant about surgery.
Article Abstract
Purpose Of Review: To examine current trends and research in nonmedical approaches to the treatment of gastroesophageal reflux disease (GERD).
Recent Findings: Long-term studies of GERD patients treated with transoral incisionless fundoplication (TIF) have found that a large portion of patients resume proton pump inhibitor therapy. In patients with uncomplicated GERD, magnetic sphincter augmentation (MSA) shows excellent short-term results in both patient satisfaction and physiologic measures of GERD, with fewer postoperative side-effects than fundoplication, although dysphagia can be problematic.
Summary: Fundoplication remains the standard of care for patients with GERD complicated by hiatal hernias more than 2 cm, Barrett's esophagus and/or grade C and D erosive esophagitis. For the patient with uncomplicated GERD, MSA appears to be a viable alternative that has greater technical standardization and fewer postoperative side-effects than fundoplication. TIF remains an option for patients with refractory GERD who refuse surgical intervention.
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| http://dx.doi.org/10.1097/MOG.0000000000000550 | DOI Listing |
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