PMID- 28859357 OWN - NLM STAT- MEDLINE DCOM- 20180525 LR - 20200306 IS - 1442-2050 (Electronic) IS - 1120-8694 (Print) IS - 1120-8694 (Linking) VI - 30 IP - 9 DP - 2017 Sep 1 TI - Review of antireflux procedures for proton pump inhibitor nonresponsive gastroesophageal reflux disease. PG - 1-14 LID - 10.1093/dote/dox054 [doi] AB - Up to 40% of patients with gastroesophageal reflux disease (GERD) report persistent symptoms despite proton pump inhibitor (PPI) therapy. This review outlines the evidence for surgical and endoscopic therapies for the treatment of PPI nonresponsive GERD. A literature search for GERD therapies from 2005 to 2015 in PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews identified 2928 unique citations. Of those, 45 unique articles specific to surgical and endoscopic therapies for PPI nonresponsive GERD were reviewed. Laparoscopic fundoplication (n = 19) provides symptomatic and physiologic relief out to 10 years, though efficacy wanes with time. Magnetic sphincter augmentation (n = 6) and transoral incisionless fundoplication (n = 9) improve symptoms in PPI nonresponders and may offer fewer side effects than fundoplication, though long-term follow-up is lacking. Radiofrequency energy delivery (n = 8) has insufficient evidence for routine use in treating PPI nonresponsive GERD. Electrical stimulator implantation (n = 1) and endoscopic mucosal surgery (n = 2) are newer therapies under evaluation for the treatment of GERD. Laparoscopic fundoplication remains the most proven therapeutic approach. Newer antireflux procedures such as magnetic sphincter augmentation and transoral incisionless fundoplication offer alternatives with varying degrees of success, durability, and side effect profiles that may better suit individual patients. Larger head-to-head comparison trials are needed to better characterize the difference in symptom response and side effect profiles. CI - (c) The Authors 2017. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Hillman, L AU - Hillman L AD - Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. FAU - Yadlapati, R AU - Yadlapati R AD - Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. FAU - Whitsett, M AU - Whitsett M AD - Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. FAU - Thuluvath, A J AU - Thuluvath AJ AD - Department of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA. FAU - Berendsen, M A AU - Berendsen MA AD - Galter Health Sciences Library, Northwestern University Feinberg School of Medicine, Chicago, Illinois. FAU - Pandolfino, J E AU - Pandolfino JE AD - Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. LA - eng GR - R01 DK092217/DK/NIDDK NIH HHS/United States GR - T32 DK101363/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Review PL - United States TA - Dis Esophagus JT - Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus JID - 8809160 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Fundoplication/*methods MH - Gastroesophageal Reflux/drug therapy/*therapy MH - Humans MH - Laparoscopy MH - Magnets MH - Proton Pump Inhibitors/therapeutic use MH - Radiofrequency Therapy MH - Retreatment MH - Treatment Failure PMC - PMC5789775 MID - NIHMS933487 OTO - NOTNLM OT - fundoplication OT - lower esophageal sphincter OT - refractory gastroesophageal reflux disease EDAT- 2017/09/02 06:00 MHDA- 2018/05/26 06:00 PMCR- 2018/07/19 CRDT- 2017/09/02 06:00 PHST- 2017/02/28 00:00 [received] PHST- 2017/04/20 00:00 [accepted] PHST- 2017/09/02 06:00 [entrez] PHST- 2017/09/02 06:00 [pubmed] PHST- 2018/05/26 06:00 [medline] PHST- 2018/07/19 00:00 [pmc-release] AID - 3979115 [pii] AID - dox054 [pii] AID - 10.1093/dote/dox054 [doi] PST - ppublish SO - Dis Esophagus. 2017 Sep 1;30(9):1-14. doi: 10.1093/dote/dox054.