Endoluminal Treatments For Gastroesophageal Reflux Disease (GERD)
Publication Date: February 1, 2010
Last Updated: March 14, 2022
Recommendations
Diagnosis
Based on the available evidence, the diagnosis of GERD can be confirmed if at least one of the following conditions exists: a mucosal break seen on endoscopy in a patient with typical symptoms, Barrett’s esophagus on biopsy, a peptic stricture in the absence of malignancy, or positive pH-metry. (, A)
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A newer test to objectively document gastroesophageal reflux is multichannel intraluminal esophageal impedance but the available evidence is insufficient to provide firm recommendations.
Outcomes
Laparoscopic antireflux surgery is effective at restoring the mechanical barrier to reflux with significant improvements in the LES pressure and acid reflux exposure, can be performed safely with minimal perioperative morbidity and mortality, and leads to high patient satisfaction rates and improved quality of life. (, A)
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Title
Endoluminal Treatments For Gastroesophageal Reflux Disease (GERD)
Authoring Organization
Society of American Gastrointestinal and Endoscopic Surgeons