Alternatives to Fundoplication

Other Surgery Options

In 2000, the U.S. Food and Drug Administration (FDA) approved two devices that are placed during an endoscopy to treat GERD. The Bard EndoCinch™ system puts stitches in the LES to create little pleats that help strengthen the muscle. The Stretta® system uses electrodes to create tiny cuts on the LES. When the cuts heal, the scar tissue helps toughen the muscle. The long-term effects of these two procedures are unknown.

Alternative to GERD Surgery

Besides lifestyle changes and medication, the FDA recently approved an implant that may help people who wish to avoid surgery for their GERD. Enteryx® is a solution that becomes spongy and reinforces the LES to keep stomach acid from flowing into the esophagus. It is injected during endoscopy. The implant is approved for people who have GERD and who require and respond to proton-pump inhibitors. The long-term effects of the implant are unknown.

Gastroesophageal Reflux Disease

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