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KMID : 0359020130460030230
Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 3 p.230 ~ p.234
Endoscopic Treatment of Refractory Gastroesohageal Reflux Disease
Kim Won-Hee

Park Pil-Won
Hahm Ki-Baik
Hong Sung-Pyo
Abstract
Though efficient acid suppression with proton pump inhibitors (PPIs) remains the mainstay of treatment of gastroesophageal reflux disease (GERD), some of the patients showed refractory response to PPIs, necessitating further intervention. After increasing dose of PPIs and other kinds of pharmacological intervention adopting prokinetics or others, variable endoscopic treatments are introduced for the treatment of these refractory cases. The detailed introduction regarding endoscopic treatment for GERD is forwarded in this review article. Implantation of reabsorbable or synthetic materials in the distal esophagus was tried in vain and is expelled from the market due to limited efficacy and serious complication. Radiofrequency energy delivery (Stretta) and transoral incisionless fundoplication (EsophyX) are actively tried currently.
KEYWORD
Gastroesophageal reflux, Endoscopic treatment, Stretta, EsophyX
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학술진흥재단(KCI) KoreaMed 대한의학회 회원