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Procedures - Bariatrics

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Video case report
Open Access
Endoscopic gastric plication for the treatment of GERD and underlying class I obesity
VideoGIE
Vol. 6Issue 2p74–76Published online: November 24, 2020
- Pichamol Jirapinyo
- Christopher C. Thompson
Cited in Scopus: 1
- Video
GERD is a common gastrointestinal disorder that affects approximately 25% of the U.S. population.¹ Several studies have demonstrated a higher prevalence of GERD in patients with obesity compared to those with a normal body mass index (BMI).² Specifically, a gain of at least 3.5 kg/m² in BMI is associated with a 3-fold increase in rates of GERD compared with those with a stable BMI.³ Potential mechanisms include an increase in intragastric pressure, transient relaxations of the lower esophageal sphincter, prevalence of hiatal hernia, esophageal dysmotility, and a decrease in lower esophageal sphincter pressure in patients with obesity.