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Endoluminal Full-Thickness Plication and Radiofrequency Treatments for GERD—Invited Critique
Jon Gould, MD
Arch Surg. 2009;144(1):24.
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Gastroesophageal reflux disease is one of the most commonly encountered gastrointestinal disorders. Medical therapy for GERD is limited by long-term costs and effectiveness, while antireflux surgery is limited by its inherent morbidity. A durable and effective procedure that focuses on disease control (and not symptom control alone), and that can be accomplished on an outpatient basis without surgery, is needed. For the past 10 years, there has been an intense interest in developing and defining such a procedure. Numerous endoluminal GERD treatments have come and gone during this time. Some devices have been withdrawn from the market owing to safety concerns, and others have fallen out of favor because of a lack of long-term effectiveness. In fact, at the time of this writing, a device for delivering endoscopic radiofrequency treatment for GERD such as the one employed in this trial is not commercially available. Jeansonne and colleagues . . . [Full Text of this Article]
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Endoluminal Full-Thickness Plication and Radiofrequency Treatments for GERD: An Outcomes Comparison
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Arch Surg. 2009;144(1):19-24.
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