Anti-reflux endoscopic therapy includes selected endoscopic treatment options that may be considered for patients with gastroesophageal reflux disease (GERD) after appropriate evaluation. GERD occurs when stomach contents repeatedly flow back into the esophagus, causing symptoms such as heartburn, regurgitation, sour taste, chest discomfort, or throat-related symptoms.

Before considering an endoscopic anti-reflux procedure, patients may require assessment with upper GI endoscopy and, depending on the clinical situation, tests such as 24-hour pH monitoring and esophageal manometry. These investigations help determine the cause and severity of reflux and whether an endoscopic approach is suitable.

Two endoscopic approaches used in selected patients are Anti-Reflux Mucosectomy (ARMS) and Anti-Reflux Mucosal Ablation (ARMA). Both procedures aim to modify tissue around the gastroesophageal junction so that healing and scar formation can help improve the anti-reflux barrier.

The choice between medical treatment, lifestyle measures, endoscopic therapy and surgery depends on symptoms, anatomy, test findings, previous treatment response and overall health. Treatment should therefore be individualized after detailed evaluation.