ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | 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, they are not effective for all patients, can have potential adverse events, and can be costly. She discusses various alternatives to PPIs, including antireflux surgery, which can be considered for patients who do not respond to or are unable to tolerate PPIs. Gutierrez also talks about the importance of conducting diagnostic tests before proceeding with endoscopic or surgical therapy, such as upper endoscopy, pH monitoring, and esophageal manometry. She then delves into the different endoscopic and surgical treatment options available, including radiofrequency ablation therapy, transoral fundoplication (TIF), mucosal resection and ablation, and endoscopic banding. Gutierrez provides insights into the effectiveness and limitations of each technique, citing relevant studies and meta-analyses. Finally, Gutierrez briefly discusses laparoscopic fundoplication and magnetic sphincter augmentation as surgical options for reflux treatment. She concludes that more research is needed to determine the best treatment approach for individual patients.

Asset Subtitle

Dr. Olaya Isabella Brewer Gutierrez

Keywords

reflux

PPIs

antireflux surgery

endoscopic treatments

surgical treatments

GERD