Methodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA.
Digestive Health Institute, University of California Irvine, Irvine, CA, USA.
Dig Dis Sci. 2022 May;67(5):1455-1468. doi: 10.1007/s10620-022-07390-2. Epub 2022 Mar 8.
Gastroesophageal reflux disease (GERD) has consistently been the most frequently diagnosed gastrointestinal malady in the USA. The mainstay of therapy has traditionally been medical management, including lifestyle and dietary modifications as well as antacid medications. In those patients found to be refractory to medical management or with a contraindication to medications, the next step up has been surgical anti-reflux procedures. Recently, though innovative advancements in therapeutic endoscopy have created numerous options for the endoscopic management of GERD, in this review, we discuss the various endoscopic therapy options, as well as suggested strategies we use to recommend the most appropriate therapy for patients.
胃食管反流病(GERD)一直是美国最常诊断出的胃肠道疾病。传统的治疗方法主要是医学管理,包括生活方式和饮食改变以及抗酸药物。对于那些被发现对医学管理有抵抗力或对药物有禁忌症的患者,下一步就是手术抗反流手术。然而,最近治疗性内窥镜检查的创新进展为 GERD 的内镜管理创造了众多选择,在这篇综述中,我们讨论了各种内镜治疗选择,以及我们建议使用的策略,以为患者推荐最合适的治疗方法。