Fig. 10. Anti-reflux mucosectomy (ARMS) for gastroesophageal reflux disease treatment. (A) Endoscopy in the J-turn maneuver demonstrated hiatal hernia without a sliding component. (B) After ARMS, two-thirds circumferential artificial ulcer, which was centered at the lesser curve, was observed, and the mucosal flap valve at the greater curve was preserved. (C) The mucosal valve was re-shaped and stitched to the lesser curve of the gastric cardia.
© J Neurogastroenterol Motil
