Endoscopic Sphincter Augmentation (ESA)

Are you frequently experiencing heartburn or acid reflux? You may be among the many individuals who suffer from gastroesophageal reflux disease (GERD), a chronic condition where acid reflux persists despite medication or lifestyle changes. GERD often stems from a weak esophageal sphincter or a hiatal hernia. 

At our surgical facility, we specialize in advanced surgical interventions, specifically Endoscopic Sphincter Augmentation (ESA) procedures, to effectively address the underlying causes of GERD.

How is Endoscopic Sphincter Augmentation performed?

Endoscopic Sphincter Augmentation (ESA) procedures involve minimally invasive techniques to strengthen the esophageal sphincter and repair hiatal hernias. Making the necessary repairs to treat GERD often requires two procedures, the first is to improve the function of the lower esophageal muscle.

The typical steps involved are:

Endoscopic Sphincter Augmentation (ESA)

Fig. 1 Antegrade view of the gastroesophageal junction before endoscopic augmentation.

Endoscopic Sphincter Augmentation (ESA)

Fig. 2 Retroflexed view of the cardia before endoscopic augmentation. A diaphragmatic hiatus is noted.

Endoscopic Sphincter Augmentation (ESA)

Fig. 3 A simple interrupted suture was placed from 12 o’clock to 3 o’clock of the gastroesophageal junction using a double channel therapeutic scope affixed with the Apollo OverStitch device. This was followed by another suture from 3 o’clock to 6 o’clock with reinforcement as needed in order to reduce the width of the gastroesophageal junction.

Endoscopic Sphincter Augmentation (ESA)

Fig. 4 Antegrade view of the gastroesophageal junction after completion of the endoscopic augmentation.

Endoscopic Sphincter Augmentation (ESA)

Fig. 5 Retroflexed view of the cardia after completion of the endoscopic augmentation. There was no hiatus between the gastroscope and the gastroesophageal junction.

Who is a Candidate for Endoscopic Sphincter Augmentation?

Patients of any age who have chronic acid reflux that has been unresponsive to alternative non-invasive treatments may be a candidate for endoscopic sphincter augmentation. By utilizing cutting-edge technology and skilled medical professionals, we provide lasting relief for GERD patients. Our team is dedicated to improving your quality of life by offering personalized treatment plans tailored to your specific needs.

Try the 5-minute quiz to determine Heartburn, Acid Reflux, and GERD – Stages, Triggers, and Symptoms.

What are the Benefits of Endoscopic Sphincter Augmentation?

What are the Risks of Endoscopic Sphincter Augmentation?

Endoscopic procedures generally carry fewer risks than surgery and are associated with less pain and quicker recovery times however, as with any surgical procedure there are associated risks which may include the risk of negative reaction to general anesthesia, bleeding, infection, and injury to internal organs.

How much does Endoscopic Sphincter Augmentation cost?

The cost of the surgery to treat GERD will depend on which procedures are being performed, the presence of a hiatal hernia, the extent of the repairs necessary, and the use of mesh. If you’re seeking a long-term solution for your GERD symptoms, visit our Pricing Page.

Our team understands the importance of insurance coverage, which is why we are here to assist you. Before scheduling a call with our compassionate customer service team. Explore how our financing options, including the CareCredit, can provide coverage for traditional medical insurance copayments and elective procedures.

Find digestive disorder stages related to Heartburn, Acid Reflux, and GERD. Calculate your GERD score today.