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Gastroesophageal Reflux Disease in 2023: When to Operate and Current Endoscopic Options for Antireflux Therapy.

Author: KimMin P, ShahAnuj

Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

Gastroesophageal reflux disease (GERD) is a common problem in the US. Lifestyle changes and medication are the usual treatments. If medication doesn't work, tests should be done to see if surgery or a procedure using a scope is needed. A common surgery involves tightening the muscle at the bottom of the esophagus (fundoplication), which is minimally invasive. Another option for people who are a good candidate is a procedure to strengthen the muscle (magnetic sphincter augmentation or MSA). For people who don't want surgery or MSA, there are two procedures using a scope: STRETTA and Transoral Incisionless fundoplication 2.0. While these procedures are better than medication, they aren't as effective as surgery.
Paper Details　
Original Abstract of the Article :
Gastroesophageal reflux disease (GERD) is among the most prevalent diseases in the United States. Mainstay therapy is lifestyle modification and medical therapy. If patients have GERD despite medical therapy, appropriate testing should be performed to determine if surgical or endoscopic therapy will...See full text at original site
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引用元：
https://doi.org/10.1016/j.thorsurg.2023.01.010

データ提供：米国国立医学図書館（NLM）

Gastroesophageal Reflux Disease: A Journey Through Treatment Options

Gastroesophageal reflux disease (GERD) is a common ailment, affecting millions around the world. This study, like a skilled navigator guiding a caravan through a complex maze, explores the diverse landscape of GERD treatment options, providing valuable insights for patients and clinicians.

The authors emphasize that GERD is a complex condition that requires a personalized approach. Lifestyle modifications and medical therapy form the bedrock of GERD management. However, for patients who fail to find relief with these traditional methods, the study outlines a range of advanced treatment options, including surgery and endoscopic therapies. It's like a desert oasis offering a diverse range of refreshments to quench the thirst of patients seeking relief.

Fundoplication: A Surgical Oasis for GERD

The study identifies fundoplication as the gold standard surgical procedure for GERD. This procedure, like a sturdy fortress protecting a valuable oasis, strengthens the lower esophageal sphincter, preventing acid reflux. However, the authors recognize that not all patients are suitable candidates for surgery, and they explore other options such as magnetic sphincter augmentation (MSA), STRETTA, and Transoral Incisionless fundoplication 2.0.

Endoscopic Therapies: A Versatile Path to GERD Relief

The study highlights the effectiveness of endoscopic therapies, such as STRETTA and Transoral Incisionless fundoplication 2.0. These minimally invasive techniques, like a skilled camel traversing a narrow passageway, offer a less invasive alternative to surgery. While these treatments may not be as effective as surgery, they provide a valuable option for patients who are not candidates for surgery or who prefer a less invasive approach.

Navigating the Desert of GERD Treatment

The study's findings offer a comprehensive roadmap for navigating the complex landscape of GERD treatment. By understanding the different options available and considering individual patient needs, healthcare providers can help patients find the most appropriate and effective treatment path. It's like providing a compass and map to guide patients through the diverse terrain of GERD treatment.

Dr.Camel's Conclusion

This study offers a valuable oasis of knowledge in the desert of GERD treatment options. By providing a comprehensive overview of the different approaches available, it empowers patients and clinicians to make informed decisions and navigate the complexities of this common ailment.

Date :
  1. Date Completed 2023-04-14
  2. Date Revised 2023-04-14
Further Info :

Pubmed ID

37045481

DOI: Digital Object Identifier

10.1016/j.thorsurg.2023.01.010

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Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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