六 ) Treatment Options in GERD: Medical, Endoscopic and Surgical

外賓演講（六）

TREATMENT OPTIONS IN GERD: MEDICAL, ENDOSCOPIC AND SURGICAL

Michael Vaezi Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA

Treatment options for patients with gastroesophageal reflux disease (GERD) include medical therapy with acid suppressive medications, surgical fundoplication or minimally invasive endoscopic therapies. Acid suppressive therapy and surgical fundoplication are highly effective therapies with track record of success for patients with GERD. However, recent concerns about the chronic complications associated with PPI use has bolstered the impetus on exploring alternative therapies for treating GERD. Minimally invasive surgical or endoscopic therapy for GERD are now gaining some traction in GERD therapy. In this lecture I will discuss the role of each of these therapies and how to ensure patient safety for each of the options.