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 »

Learning Curve of TIF: A Single Endoscopist Experience

Transoral Incisionless Fundoplication (TIF) is a minimally invasive endoscopic technique proven to be safe and effective for treating Gastroesophageal Reflux Disease (GERD) inselected patients. The learning curve of this technique has not been studied. Aims: (1) To report the learning curve for TIF, by identifying a breakpoint or threshold number ofprocedures at which there is… Read more »

DDW abstract: Sa1229 Outpatient Transoral Incisionless Fundoplication (TIF 2.0) Is Safe and Effective for Treatment of Proven Gastroesophageal Reflux Disease (GERD) And Laryngopharyngeal Refux Disease (LPRD): A Single Center Prospective Cohort Study

Published clinical trials of transoral incisionless fundoplication (TIF) in GERD patients using older devices and techniques reported symptom improvement, but with variable effectson proton pump inhibitor (PPI) cessation and esophageal acid exposure. There are limited data on the outcomes of modern TIF performed by a therapeutic endoscopist usingimproved devices and techniques. Aim: We evaluated the… Read more »

Transoral Incisionless Fundoplication

KEY POINTS On the GERD spectrum, TIF may be a treatment option among patients with GERD with anintact and functioning crura, but would benefit from strengthening, tightening, and length-ening the LES complex. Therefore, patient selection is very important in determining whichpatients will likely have the best outcome. As an endoscopic procedure, TIF reduces EGJ distensibility,… Read more »

Efficacy and patient satisfaction of single-session transoral incisionless fundoplication and laparoscopic hernia repair.

Abstract Background and aims Transoral incisionless fundoplication (TIF) is an effective endoscopic treatment for refractory GERD with small or absent hiatal hernia (< 2 cm in length and width). The single-session laparoscopic hernia repair followed by transoral incisionless fundoplication (HH + TIF) aims to repair mechanical defects in the lower esophageal sphincter that leads to… Read more »

Surgical and endoscopic management options for patients with GERD based on proton pump inhibitor symptom response: recommendations from an expert U.S. panel

Background and Aims The objective of this study was to examine expert opinion and agreement on the treatment of distinct GERD profiles from surgical and therapeutic endoscopy perspectives. Methods We used the RAND/University of California, Los Angeles Appropriateness Method over 6 months (July 2018 to January 2019) to assess the appropriateness of antireflux interventions among… Read more »

The evolution of TIF: transoral incisionless fundoplication

Abstract: Transoral incisionless fundoplication (TIF) was introduced in 2006 as a concerted effort to produce a natural orifice procedure for reflux. Since that time, the device, as well as the procedure technique, has evolved. Significant research has been published during each stage of the evolution, and this has led to considerable confusion and a co-mingling… 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 »

Update on Endoscopic Approaches for the Management of Gastroesophageal Reflux Disease

Abstract: Gastroesophageal reflux disease (GERD) is one of the most commonly encountered gastrointestinal diseases in outpatient clinics. Proton pump inhibitors (PPIs) are the cornerstone of the treatment of GERD. However, approximately one-third of patients have suboptimal response to PPIs. The management options in such cases include antireflux surgery or endoscopic antireflux treatments. Antireflux surgery is… Read more »