ASGE International Sampler (On-Demand)-Minimally Invasive Endoscopic & Surgical Treatments of GERD

Video Transcription

Video Summary

In the video, Ken Chang from UCI Irvine discusses minimally invasive endoscopic and surgical treatments for gastroesophageal reflux disease (GERD). He emphasizes that there are many GERD patients who are refractory to proton pump inhibitor (PPI) therapy and could benefit from antireflux surgery or procedures. He suggests that gastroenterologists and surgeons need to work together as a team to provide more effective therapy to the growing population suffering from GERD.<br /><br />Chang provides statistics to illustrate the prevalence of GERD in the US, with approximately 40% of adults experiencing GERD symptoms and 35% of patients with symptoms relying on medication. He highlights the underutilization of antireflux procedures, with only 20,000 procedures being performed annually, representing less than 0.4% of those who could benefit from them.<br /><br />Chang then delves into the anatomy of the lower esophageal sphincter and the importance of the crura as an antireflux barrier. He explains the role of the flap valve and how various procedures aim to augment it. He introduces the concept of the "omega valve" as an optimal antireflux valve, which would restore the natural function of the flap valve.<br /><br />In conclusion, Chang stresses the need for a personalized approach to GERD treatment and highlights the significance of understanding the anatomical alterations in patients. He encourages collaboration between gastroenterologists and surgeons to provide better care for patients suffering from GERD.

Asset Subtitle

Kenneth Chang

Keywords

minimally invasive endoscopic

GERD

antireflux surgery

gastroenterologists

anatomical alterations