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February 10, 2012

Fundoplication (cont.)

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What are alternatives to fundoplication?

Although fundoplication is the standard surgical method for treating GERD, endoscopic methods for treating GERD have been developed. Endoscopy utilizes endoscopes, which are long flexible tubes that are swallowed by patients. The inside of the esophagus can be viewed through the endoscope and various instruments can be passed through channels in the endoscope.

In one endoscopic method for treating GERD, an instrument is inserted that delivers an electrical current to the lower esophageal sphincter. This results in scarring which tightens the sphincter. In a second method, sutures are placed in the sphincter to tighten the sphincter.

Other methods also have been employed experimentally. Although endoscopic methods offer a simpler way of treating GERD than fundoplication, there are many questions about how effective, safe, or long-lasting they are, and they are being performed and evaluated at a limited number of centers until these questions have been answered.


Last Editorial Review: 3/31/2009



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