ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Minimally Invasive Endoscopic & Surgical Treatments of GERD

Video Transcription

Video Summary

In this video, Alayah Gutierrez, the Director of Endoscopy at Hopkins Sibley and an assistant professor at Hopkins School of Medicine, discusses minimally invasive endoscopic and surgical treatments for reflux. Gutierrez explains that while proton pump inhibitors (PPIs) are the first-line therapy for GERD, up to 40% of patients do not respond fully. Additionally, long-term PPI use can have potential adverse events and financial costs. Gutierrez identifies individuals who may be considered for alternative therapies, including those who have persistent symptoms on PPI, are intolerant to PPI, or are PPI-adverse. She also discusses diagnostic tests that are typically conducted before endoscopic or surgical therapy, such as upper endoscopy and pH monitoring. Gutierrez then highlights various endoscopic techniques, including radiofrequency ablation therapy and transoral fundoplication. She presents data on the effectiveness and limitations of these procedures. Finally, Gutierrez briefly mentions surgical options, such as laparoscopic fundoplication and magnetic sphincter augmentation. She concludes by emphasizing the need for further research to ensure the best selection of therapy for individual patients.

Asset Subtitle

Dr. Olaya Isabella Brewer Gutierrez

Keywords

Alayah Gutierrez

minimally invasive endoscopic

reflux

proton pump inhibitors

alternative therapies

surgical options