Bridging the Gap with Endoscopic (Endo luminal) Therapies for Gastro Esophageal Reflux Disease

Abstract

Currently, the procedure is usually performed under general anesthesia in the outpatient setting with possible short postprocedure inpatient observation. The EsophyX device (Figure 1, Figure 2) is placed on the endoscope. The endoscope is then inserted under direct visualization through the mouth and into the stomach. The endoscope is advanced and retroflexed to obtain direct visualization of the procedure. The tissue retractor is used to grasp the fundus, pull it into the EsophyX device, thereby recreating the gastro esophageal valve. If a hernia less than 2cm is present, the endoscope and device can be advanced to reduce the hernia. After the valve is created and hiatal hernia