Article
The American Foregut Society endoscopic classification outperforms Hill in phenotyping the esophago-gastric junction to guide gastroesophageal reflux disease management.
Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus - 9 Jan 2026
Riva Carlo Galdino, Siboni Stefano, De Maron Roberta, Mema Jiurgen, Milito Pamela, Lovece Andrea, Bernardi Daniele, Sozzi Marco, Asti Emanuele
Abstract excerpt
Gastroesophageal reflux disease (GERD) is driven by anti-reflux barrier (ARB) disruption, requiring precise endoscopic tools to guide diagnosis and management. The Hill classification, based solely on flap valve (FV), lacks precision. The American Foregut Society (AFS) classification, integrating hiatal hernia length (L), hiatal opening diameter (D), and FV (F), offers a comprehensive approach to phenotype...
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