A 42-year-old woman has been diagnosed with severe gastroesophageal reflux disease (GERD)without the dysplastic changes of Barrett's esophagus.Her GERD is unresponsive to proton pump inhibitors and histamine blockers.She also has a history of endometriosis with multiple surgeries for ablation of endometrial implants on her small bowel and adhesiolysis.Her surgeon is hesitant to pursue an open or a laparoscopic Nissen fundoplication surgical approach.Which procedure might her surgeon consider in lieu of a Nissen?

Question

Quizplus · Accepted Answer

Intraluminal plication is an antireflux procedure that can be performed endoscopically.The EsophyX technique endoscopically creates a 260-degree internal plication of the gastric fundus to create a neogastroesophageal valve.

A 42-Year-Old Woman Has Been Diagnosed with Severe Gastroesophageal Reflux