DDW abstract: 881 Multicenter Comparative Study of Hiatal Hernia Repair With Transoral Incisionless Fundoplication Versus Nissen Fundoplication for the Treatment of Gastroesophageal Reflux Disease

Background Transoral incisionless fundoplication (TIF) is a lesser invasive endoscopic procedure for gastroesophageal reflux disease (GERD) alternative tolaparoscopic Nissen fundoplication (LNF). Many patients with GERD require hiatal hernia (HH) repair. The US Food and Drug Administration expanded the indication of TIF for patients with hiatal hernia > 2 cm with concomitant HH repair. Recent studies… Read more »

Laparoscopic Hiatal Hernia Repair Followed by Transoral Incisionless Fundoplication With EsophyX Device (HH + TIF): Efficacy and Safety in Two Community Hospitals

The TIF (transoral incisionless fundoplication) 2.0 procedure is indicated for patients with a hiatal hernia less than 2 cm. Many patients with gastroesophageal reflux disease (GERD) require hiatal hernia repair. This study examined the safety and efficacy when repairing defects in 2 anatomical structures (hiatus and lower esophageal sphincter) in a concomitant set of procedures… Read more »

Massive Caudate Lobe in Laparoscopic Hiatal Hernia Repair: Tying and Wrapping outside the Box

The presence of anatomical obstacles in the limited operative field of laparoscopic hiatal hernia repair (LHHR) creates significant technical difficulties. This case presentation highlights the use of laparoendoscopic approach in these operative situations. This patient is a 60-year-old female with past medical history of diabetes, anxiety, depression, hypertension, hyperlipidemia, hypothyroidism, and psoriasis. She had gastroesophageal… Read more »

Laparoscopic Hiatal Hernia Repair and Transoral Incisionless Fundoplication with EsophyX Device Efficacy and Safety in Two Community Hospitals 99 Patients

Introduction GERD unresponsive to medical therapies can be treated by laparoscopic Nissen fundoplication or endoluminal techniques. We describe our experience using the TIF procedure with the EsophyX device. The TIF procedure is not indicated in patients with a hiatal hernia larger than 2 cm. Performing a hiatal hernia repair (HHR) in those cases will make… Read more »

Short-term safety and symptomatic outcomes of transoral incisionless fundoplication with or without hiatal hernia repair in patients with chronic gastroesophageal reflux disease

BACKGROUND: A retrospective community-based study evaluated the safety and symptomatic outcomes of the transoral incisionless fundoplication (TIF) procedure with or without hiatal hernia repair (HHR) in patients with chronic gastroesophageal reflux disease (GERD). MATERIALS AND METHODS: Forty-eight patients underwent TIF using EsophyX (EndoGastric Solutions, Redmond, WA) in 3 community hospitals. Patients who presented with a… Read more »

Antireflux ‘barriers’: problems with patient recruitment for a new endoscopic antireflux procedure

BACKGROUND: Most first-generation endoscopic antireflux procedures (EARPs) have been withdrawn because of variable success rates, economic considerations, and/or complications. As a result, subsequent methods may meet ‘skepticism’ by physicians and patients. AIMS: To identify potential barriers to patient recruitment for a new EARP METHODS: We prospectively analyzed our recruitment for a phase 2 study of… Read more »

The Treatment of Hiatal Hernia and Esophageal Reflux by Fundoplication

Nissen, R. (1964). The treatment of hiatal hernia and esophageal reflux by fundoplication (chapter 30). In L.M. Nyhus & H.N. Harkins (Eds), Hernia (1st ed., pp.488-96). Philadelphia, PA: Lippincott. After searches in PubMed.gov, Amazon.com and AbeBooks.com we were unable to locate a digital copy of this book chapter. The following material may be protected by… Read more »