Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 32: A Patient With Long-Standing Gerd Does Not Wish To Take Long-Term Medical Therapy And Inquires About The Options For Treatment. He Wonders If There Is Something He Can Do Other Than Antireflux Surgery? Is There A Role For Endoscopic Therapy For Gerd? (continued)

Millions of patients with GERD take proton pump inhibitors and safely obtain relief of reflux symptoms. However, many patients are hesitant to take daily medications and are even more hesitant to undergo antireflux surgery. Emerging options for such patients are the endoluminal GERD therapies that have evolved over the past several years, claiming efficacy comparable to antireflux surgery in GERD symptom relief. However, there has been a paucity of data to support that efficacy, even as more and more devices have been developed. Before adopting these treatments into any clinical practice, it…