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Updated: Mar 7, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
[Surgical and interventional procedures for reflux therapy : Endoscopic or laparoscopic?]
K U Asche1, A Kaindlstorfer2, R Pointner2
1Allgemein- und Viszeralchirurgie, A.ö. Tauernklinikum GmbH Standort Zell am See, Paracelsusstr. 8, 5700, Zell am See, Österreich. kaiuwe.asche@tauernklinikum.at.
Abstract:
An optimal functioning of the gastroesophageal antireflux barrier depends on an anatomical overlapping of the lower esophageal sphincter and the crural diaphragm. Restoration of this situation is currently only possible by antireflux interventions combined with hiatoplasty and necessitates a laparoscopic approach. Newer alternative techniques to the generally accepted fundoplication are laparoscopic implantation of the LINX® device or the EndoStim® system and various endoscopic antireflux procedures, such as radiofrequency energy treatment, plication and implantation techniques aimed at augmentation of the gastroesophageal valve. Endoscopic techniques are becoming established more and more between pharmaceutical and surgical therapy instead of replacing them.
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