Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions

Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases encountered in primary care and gastroenterology clinics. Most cases of GERD can be diagnosed based on clinical presentation and risk factors; however, some patients present with atypical symptoms, which can m...

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Autores principales:	Rupinder Mann, Mahesh Gajendran, Abhilash Perisetti, Hemant Goyal, Shreyas Saligram, Chandraprakash Umapathy
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	gastroesophageal reflux disease (GERD) endoscopic reflux therapy narrow band imaging (NBI) endoscopy Barrett's esophagus (BE) Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c519e349e110432d98b4b8ae051eaa57
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spelling	oai:doaj.org-article:c519e349e110432d98b4b8ae051eaa572021-12-01T13:08:08ZAdvanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions2296-858X10.3389/fmed.2021.728696https://doaj.org/article/c519e349e110432d98b4b8ae051eaa572021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.728696/fullhttps://doaj.org/toc/2296-858XGastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases encountered in primary care and gastroenterology clinics. Most cases of GERD can be diagnosed based on clinical presentation and risk factors; however, some patients present with atypical symptoms, which can make diagnosis difficult. An esophagogastroduodenoscopy can be used to assist in diagnosis of GERD, though only half of these patients have visible endoscopic findings on standard white light endoscopy. This led to the development of new advanced endoscopic techniques that enhanced the diagnosis of GERD and related complications like squamous cell dysplasia, Barrett's esophagus, and early esophageal adenocarcinoma. This is conducted by improved detection of subtle irregularities in the mucosa and vascular structures through optical biopsies in real-time. Management of GERD includes lifestyle modifications, pharmacological therapy, endoscopic and surgical intervention. Minimally invasive endoscopic intervention can be an option in selected patients with small hiatal hernia and without complications of GERD. These endoscopic interventions include endoscopic fundoplication, endoscopic mucosal resection techniques, ablative techniques, creating mechanical barriers, and suturing and stapling devices. As these new advanced endoscopic techniques are emerging, data surrounding the indications, advantages and disadvantages of these techniques need a thorough understanding.Rupinder MannMahesh GajendranAbhilash PerisettiAbhilash PerisettiHemant GoyalShreyas SaligramChandraprakash UmapathyFrontiers Media S.A.articlegastroesophageal reflux disease (GERD)endoscopic reflux therapynarrow band imaging (NBI)endoscopyBarrett's esophagus (BE)Medicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gastroesophageal reflux disease (GERD) endoscopic reflux therapy narrow band imaging (NBI) endoscopy Barrett's esophagus (BE) Medicine (General) R5-920
spellingShingle	gastroesophageal reflux disease (GERD) endoscopic reflux therapy narrow band imaging (NBI) endoscopy Barrett's esophagus (BE) Medicine (General) R5-920 Rupinder Mann Mahesh Gajendran Abhilash Perisetti Abhilash Perisetti Hemant Goyal Shreyas Saligram Chandraprakash Umapathy Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
description	Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases encountered in primary care and gastroenterology clinics. Most cases of GERD can be diagnosed based on clinical presentation and risk factors; however, some patients present with atypical symptoms, which can make diagnosis difficult. An esophagogastroduodenoscopy can be used to assist in diagnosis of GERD, though only half of these patients have visible endoscopic findings on standard white light endoscopy. This led to the development of new advanced endoscopic techniques that enhanced the diagnosis of GERD and related complications like squamous cell dysplasia, Barrett's esophagus, and early esophageal adenocarcinoma. This is conducted by improved detection of subtle irregularities in the mucosa and vascular structures through optical biopsies in real-time. Management of GERD includes lifestyle modifications, pharmacological therapy, endoscopic and surgical intervention. Minimally invasive endoscopic intervention can be an option in selected patients with small hiatal hernia and without complications of GERD. These endoscopic interventions include endoscopic fundoplication, endoscopic mucosal resection techniques, ablative techniques, creating mechanical barriers, and suturing and stapling devices. As these new advanced endoscopic techniques are emerging, data surrounding the indications, advantages and disadvantages of these techniques need a thorough understanding.
format	article
author	Rupinder Mann Mahesh Gajendran Abhilash Perisetti Abhilash Perisetti Hemant Goyal Shreyas Saligram Chandraprakash Umapathy
author_facet	Rupinder Mann Mahesh Gajendran Abhilash Perisetti Abhilash Perisetti Hemant Goyal Shreyas Saligram Chandraprakash Umapathy
author_sort	Rupinder Mann
title	Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
title_short	Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
title_full	Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
title_fullStr	Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
title_full_unstemmed	Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions
title_sort	advanced endoscopic imaging and interventions in gerd: an update and future directions
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/c519e349e110432d98b4b8ae051eaa57
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Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions

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