Millions of Filipinos suffer persistent heartburn and regurgitation that disrupts meals and sleep—problems that often continue despite daily medication, a condition called Refractory GERD. St. Luke’s Medical Center – Global City has now achieved a historic milestone in local gastroenterology, performing the country’s first Anti-Reflux Mucoplasty (ARM-P). Led by Dr. Nikko Theodore V. Raymundo and the Institute of Digestive and Liver Diseases team, this non-surgical procedure offers lasting relief for patients who no longer respond to standard treatments.
Refractory GERD occurs when the valve between the esophagus and stomach weakens, allowing backflow even if acid levels are controlled. ARM-P is an endoscopic technique that works entirely from within, using a thin tube passed through the mouth. Specialized clips tighten the loose valve without abdominal incisions, delivering structural repair rather than just symptom control. Recovery is rapid: the 70-year-old first patient was free of symptoms overnight, progressed to soft diets quickly, and was discharged within two days.
“This gives patients a less invasive alternative to major surgery—no need to travel abroad for world-class care,” said Dr. Raymundo. Ideal candidates include those with medication-resistant reflux, confirmed weak valves, and no other swallowing disorders. This innovation reinforces St. Luke’s ongoing leadership in advanced, accessible digestive care in the Philippines.
