Tratamiento endoscópico antirreflujo para la enfermedad por reflujo gastroesofágico: perspectiva actual

Autores/as

  • Juan Ignacio Olmos Servicio de Gastroenterología, Hospital de Clínicas General José de San Martín, Buenos Aires.
  • Carlos Robles-Medranda Instituto Ecuatoriano de Enfermedades Digestivas - IECED. Guayaquil.

DOI:

https://doi.org/10.52787/agl.v52i2.219

Palabras clave:

Enfermedad por reflujo gastroesofágico, transoral incisionless fundoplication, stretta, anti-reflux mucosal ablation, MUSE

Resumen

La enfermedad por reflujo gastroesofágico continúa siendo la enfermedad gastrointestinal que con mayor frecuencia se diagnostica en los Estados Unidos, y su incidencia y prevalencia se encuentran en aumento a nivel global. El pilar de tratamiento tradicional se basa en el manejo médico, incluyendo modificaciones en los estilos de vida y en la dieta. Sin embargo, una proporción significativa de los pacientes presenta una pobre respuesta al tratamiento con inhibidores de bomba de protones  en el largo término o se niega a tomar la medicación de manera crónica por miedo a sus efectos adversos. En estos pacientes refractarios al manejo médico o con contraindicación para este, el siguiente paso es el procedimiento quirúrgico antirreflujo. Recientemente, se han desarrollado avances innovadores en lo que respecta a la terapéutica endoscópica, que ofrecen numerosas alternativas mínimamente invasivas en el manejo endoscópico de la enfermedad por reflujo gastroesofágico para estos pacientes. No obstante, el rol de los procedimientos endoscópicos continúa siendo un tema controversial debido a los limitados datos comparativos a largo término, aunque se empiezan a tener en consideración en las ultimas guías de manejo de enfermedad por reflujo gastroesofágico. En esta revisión discutiremos las diferentes opciones terapéuticas endoscópicas disponibles actualmente.

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Publicado

2022-06-27

Cómo citar

Olmos, J. I., & Robles-Medranda, C. (2022). Tratamiento endoscópico antirreflujo para la enfermedad por reflujo gastroesofágico: perspectiva actual. Acta Gastroenterológica Latinoamericana, 52(2), 166–173. https://doi.org/10.52787/agl.v52i2.219