[Surgical and interventional procedures for reflux therapy : Endoscopic or laparoscopic?]

Area of Science:

• Gastroenterology and Surgical Innovation

Background:

• The gastroesophageal antireflux barrier relies on the anatomical relationship between the lower esophageal sphincter and the crural diaphragm.
• Current surgical restoration often involves laparoscopic antireflux interventions and hiatoplasty.

Purpose of the Study:

• To review alternative and emerging techniques for gastroesophageal antireflux.
• To assess the role of endoscopic procedures in managing gastroesophageal reflux disease (GERD).

Main Methods:

• Review of current laparoscopic antireflux interventions.
• Evaluation of newer devices like LINX® and EndoStim®.
• Analysis of endoscopic antireflux procedures including radiofrequency ablation, plication, and valve augmentation.

Main Results:

• Laparoscopic approaches with hiatoplasty are established for restoring the antireflux barrier.
• Minimally invasive options such as LINX® and EndoStim® provide alternatives.
• Endoscopic techniques are increasingly integrated as complementary therapies, not replacements.

Conclusions:

• Endoscopic antireflux procedures are gaining acceptance as adjuncts to pharmaceutical and surgical treatments.
• These techniques aim to augment the gastroesophageal valve function.
• The integration of endoscopic methods broadens therapeutic options for GERD management.