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

Priscila Olague; Teminioluwa Ajayi; Tomas DaVee; Nirav Thosani; Wasseem Skef

doi:10.1093/dote/doag030

March 2, 2026Diseases of the Esophagus

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

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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

Implication

This review highlights challenges and shortcomings in endoscopic grading of the anti-reflux barrier classifications.

Abstract

Summary Endoscopic grading of the esophagogastric junction is essential for assessing the anti-reflux barrier (ARB). This review outlines the evolution of endoscopic ARB classifications, summarizes validation data, and highlights ongoing challenges with adoption, accuracy, and reproducibility.

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Cite This Study

Olague et al. (2026) studied this question.

synapsesocial.com/papers/69ddd9e1e195c95cdefd752a https://doi.org/10.1093/dote/doag030

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

Key Points

Implication

Abstract

Discussion

Cite This Study

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

Key Points

Implication

Abstract

Discussion

Cite This Study

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