Refractory GERD and systemic sclerosis: The end of a dead end?

Gastroesophageal reflux (GERD) and esophageal dysmotility are frequent in Systemic sclerosis (SSc). Esophageal dysmotility may induce complications and respiratory disorders. Thus, treatment of GERD is particularly important in these patients. When all medical options fail, surgical fundoplication is the last treatment for GERD but may be limited by an impaired esophageal motility. Antireflux mucosectomy (ARMS) is a recent innovating endoscopic procedure. It consists of a mucosal resection of the ¾ of the circumference of the eso-gastric junction to induce a narrowing of the cardia. We report the case of the first SSc patient treated by ARMS for a refractory GERD.