Update in procedural therapy for GERD - Magnetic sphincter augmentation, endoscopic transoral incisionless fundoplication vs laparoscopic nissen fundoplication

Michael X. Min, Robert A. Ganz

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Gastroesophageal reflux disease (GERD) is a common and progressive condition manifested by heartburn or regurgitation. Though Nissen fundoplication has been and remains the gold standard for procedural therapy for GERD, two newer interventions have gained popularity: magnetic sphincter augmentation (MSA), which entails the placement of a self expanding magnetic ring around the gastroesophageal (GE) junction, and transoral incisionless fundoplication (TIF), an endoscopic approach that creates a neogastroesophageal valve near the fundus. Collective data gathered from four studies published within the past year suggest that the three modalities share comparable effectiveness in pH monitoring and patient satisfaction, TIF may have a lower proton pump inhibitor cessation rate, and Nissen fundoplication required longer recovery time and had a more serious adverse effects profile. Large, prospective, randomized controlled studies are needed to reliably compare the three procedures.

Original languageEnglish (US)
Article number374
JournalCurrent gastroenterology reports
Volume16
Issue number2
DOIs
StatePublished - Feb 2014

Keywords

  • Gastroesophageal reflux
  • Magnetic sphincter augmentation
  • Nissen fundoplication
  • Proton pump inhibitor
  • Transoral incisionless fundoplication

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