Raphael Kara L, Walsh Patrick, Benias Petros C
Division of Gastroenterology, North Shore-Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY 11030, USA.
Division of Gastroenterology, St Vincent's Northside Medical Centre, 627 Rode Road, Brisbane, Australia.
Gastrointest Endosc Clin N Am. 2020 Apr;30(2):291-307. doi: 10.1016/j.giec.2019.12.009. Epub 2020 Feb 13.
Minimally invasive endoscopic antireflux therapies are critical for bridging the gap between medical and surgical treatments for gastroesophageal reflux disease (GERD). Although multiple endoscopic devices have been developed, perhaps some of the most exciting options that are currently evolving are the full-thickness suturing techniques using widely available and low-cost platforms. Full-thickness endoscopic suturing can allow for a highly durable recreation of the anatomic and functional components of a lower esophageal sphincter, which are deficient in patients with GERD. Proper patient selection, endoscopic hiatal hernia evaluation, and standardized suturing methods are necessary to ensure success of endoscopic suturing for antireflux therapy.
