Endoscopic evaluation of the esophagogastric junction—where current classifications fall short

Key Points

• To evaluate the current classifications of endoscopic grading for the anti-reflux barrier and identify their limitations.
• Reviewed evolution of endoscopic anti-reflux barrier classifications
• Summarized validation data
• Analyzed adoption challenges and accuracy issues
• Identified gaps in current classification systems
• Highlighted issues with accuracy and reproducibility
• Noted low adoption rates in clinical practice