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Endoscopy 2020; 52(S 01): S117
DOI: 10.1055/s-0040-1704363
DOI: 10.1055/s-0040-1704363
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 08:30 – 10:30 Esophageal High-tech: Newtreatment modalities for the esophagus Liffey Meeting Room 2
ENDOSCOPIC TREATMENT OF GASTRO-ESOFAGIC REFLUX DISEASE - ARMS-A TECHNIQUE
Further Information
Publication History
Publication Date:
23 April 2020 (online)
We present an endoscopic approach to the management of gastroesophageal reflux disease (GERD) using an anti-reflux mucosotomy technique (ARMS-A), employed as an option on patients with refractory GERD with proton-pump inhibitors (PPI) and who refuse surgery. The technique is performed in retroflexion, with the application of argon-plasma on the gastric mucosa of the gastro-esophageal junction, creating a circumferential mucosal ulceration and consequently leading to a narrowing of the gastric cardia opening. The scar formation after healing leads to a fundoplication-like effect. This is a simple technique, may allow discontinuation of the PPI and promises a sustained relief of symptoms.