Abstract
Although, this publication suffers from many of the common flaws in a surgical review, it raises several significant concerns regarding the endoscopic treatment of reflux. Although considered to be ‘minimally invasive’, the authors clearly demonstrate that it is not without risk. Their complication rate is very high, which is likely contributed to by their low volume and the complexity of the cases. Furthermore, their complications were significant, as none of the reported patients’ obstructions were amenable to being treated conservatively. Therefore, patients and families need to be aware that obstruction can occur, both acute and chronic, as per open
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