ASGE DDW Videos from Around the World | 2024-REVISION OF FAILED FUNDOPLICATION WITH RECURRENT GASTROESOPHAGEAL REFLUX DISEASE (GERD) USING COMBINED ANTIREFLUX MUCOSAL ABLATION (ARMA) AND ENDOSCOPIC FULL THICKNESS FUNDOPLASTY (EFTF)

REVISION OF FAILED FUNDOPLICATION WITH RECURRENT GASTROESOPHAGEAL REFLUX DISEASE (GERD) USING COMBINED ANTIREFLUX MUCOSAL ABLATION (ARMA) AND ENDOSCOPIC FULL THICKNESS FUNDOPLASTY (EFTF)

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Video Transcription

Video Summary

A 57-year-old male with a history of GERD, obesity, dysplasia, and adenocarcinoma post-surgery and ablation underwent a revision of a failed Nissen fundoplication. Endoscopic procedures were utilized to improve the fundoplication appearance, hiatus, and hernia. Post-surgery, the patient showed low likelihood of GERD and no dysphagia. Endoscopic techniques are becoming an alternative to surgical revisions for certain patients with failed fundoplication, especially those with smaller hiatal hernias. While TIF may be effective for some, endoscopic full-thickness fundoplasty can be a suitable alternative in cases where TIF is not possible or technically challenging due to anatomical reasons.

Asset Subtitle

Jasmine Haydel

Meta Tag

Concept Revision Therapy

Concept Gastroesophageal Reflux Disease

Concept Endoscopic Full-Thickness Fundoplasty

Concept Nissen Fundoplication

Concept Esophagitis

Keywords

GERD

Nissen fundoplication

endoscopic procedures

hiatal hernia

fundoplasty

Revision Therapy

Gastroesophageal Reflux Disease

Endoscopic Full-Thickness Fundoplasty

Nissen Fundoplication

Esophagitis