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Updated: Jun 18, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Recent advances in endoscopic antireflux techniques
Melina C Vassiliou1, Daniel von Renteln, Richard I Rothstein
1Department of Surgery, McGill University Health Centre, Montreal General Hospital, Quebec, Canada.
Abstract:
Heartburn is the most common symptom associated with gastroesophageal reflux disease, and life-long proton pump inhibitor therapy is often required to control symptoms. Antireflux surgery is an alternative, but there may be significant side effects and the duration of therapeutic effect is variable. Several endoscopic antireflux techniques (E-ARTs) have been developed to enhance the function of the lower esophageal sphincter or alter the structure of the angle of His with the goal of recreating or augmenting the reflux barrier. Many methods are no longer available, and some await regulatory approval. This article reviews available data for the most common E-ARTs.
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