Modern endoscopic reflux treatment: treating heartburn without tablets.
Chronic reflux and heartburn can have a major impact on everyday life. If medication or lifestyle changes are not enough, innovative endoscopic treatments such as anti-reflux mucosectomy (ARMS) or anti-reflux band mucosectomy (ARBM) are available. This minimally invasive procedure offers an effective solution for patients with a hiatal hernia of up to 2 cm or caria insufficiency.
In this article you will learn how ARMS works, for whom the treatment is suitable and what benefits it offers.
What is an anti-reflux mucosectomy (ARMS)?
Anti-reflux mucosectomy is a modern, endoscopic procedure for the treatment of gastroesophageal reflux (GERD). The aim of the method is to improve the natural barrier function of the lower oesophageal sphincter by specifically removing parts of the mucosa in the stomach entrance.
This tissue removal tightens the area of the stomach entrance, which effectively reduces the reflux of stomach acid into the oesophagus.
Reflux due to cardia insufficiency
Anti Reflux Mucosectomy (ARMS)
Defect closure according to ARMS
ARMS after healing
Your experts for the ARMS method in Bern
Our gastroenterology practice in Bern specializes in modern treatments for reflux and heartburn. Anti-reflux mucosectomy (ARMS) offers you a minimally invasive and effective solution for chronic reflux.
Makean appointment for a consultation and find out how we can help you treat your symptoms effectively.
Who is ARMS suitable for?
ARMS treatment can be recommended for patients who:
- Suffer from chronic reflux and do not respond adequately to medication such as proton pump inhibitors (PPI).
- Want to manage without medication in the long term.
- Do not want traditional surgery (e.g. fundoplication).
- Have mild to moderate forms of reflux disease.
- do not have a relevant hiatal hernia over 2 cm
How does anti-reflux mucosectomy work?
ARMS treatment is performed on an outpatient basis using an endoscope. The procedure usually takes less than an hour and patients can go home the same day.
Results and chances of success of ARMS?
Studies and experience reports show that anti-reflux mucosectomy significantly improves the quality of life for many patients. After the procedure, most report a significant reduction in heartburn and reflux.
Dr. Stefan Schlosser, gastroenterologist at Vivomed in Bern, explains: "The ARMS method is an excellent option for selected patients who are looking for a minimally invasive and effective solution to reflux. We combine modern technology with individually tailored aftercare to achieve optimal results."
Risks and aftercare for endoscopic reflux treatment?
As with any medical procedure, there are potential risks with the ARMS method, but these are minimal. Rare side effects include temporary difficulty swallowing or pain in the treatment area. Bleeding or injury to the wall layer does not usually occur. After the procedure, patients should switch to soft and easily digestible food for a few days to support healing. Acid inhibitors are necessary until healing is complete. Regular follow-up checks ensure that the treatment is successful.
When should you consider ARMS treatment?
The ARMS method is an effective alternative when:
- Medication is not enough.
- Cough persists despite stomach protectors
- Reflux impairs your quality of life.
- You are looking for a gentle, long-term solution.
How long does the effect of ARMS treatment last?
The results are generally long-term. Many patients report a significant improvement in their symptoms over a period of years.
Is the procedure painful?
No, the treatment is performed under sedation and is painless. After the treatment, you may experience a feeling of tightness or difficulty swallowing due to swelling of the mucous membrane. Fortunately, this is not always the case and is limited in time.
Are there alternative treatment methods for reflux?
For reflux disease with a larger hernia of 2 cm or more, surgical fundoplication with hiatoplasty is usually the treatment of choice. For smaller hernias, an anti-reflux band mucosctomy (ARBM) is also possible in addition to ARMS. This procedure is a variant of ARMS in which, instead of direct removal of the mucosa, a mucosal defect is achieved by inserting rubber bands which scar over time and thus narrow the entrance to the stomach.
Reflux due to cardia insufficiency
Anti Reflux Band Mucosectomy (ARBM)
Rubber band ligation for ARBM
ARBM after healing
With endoscopic anti-reflux treatment, reflux is treated effectively and gently for selected patients. Contact us and let us advise you individually!