Summary:
The aim of endoscopic treatment of gastroesophageal
reflux disease is to create barrier to prevent backwash of
gastroduodenal contents into the oesophagus. These techniques
may be categorised into injection bulking, plicating
and radiofrequency techniques.There are only initial
uncontrolled studies,comparative and longer-term efficacy
and safety data are needed.
The endoscopic treatment of Barrett’s oesophagus is based
on observation that interventions involving injury to the
Barrett’s epithelium in the presence of reduced oeso-phageal
acid exposure could lead at least to partial reversal
of the metaplastic tissue. Photodynamic therapy, laser
photocoagulation, argon plasma coagulation, electrocoagulation
and endocopic mucosal resection can be used too.
Remaining problem is the completeness of this reversal
and the durability of this new epithelium.
Key words:
gastroesophageal reflux disease, Barrett’s
oesophagus, endoscopic treatment
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