ASGE DDW Videos from Around the World | 2025-TRANSORAL ANTI-REFLUX PLICATION A NEW APPROACH FOR REFRACTORY GERD FOLLOWING LAPAROSCOPIC SLEEVE GASTRECTOMY

TRANSORAL ANTI-REFLUX PLICATION A NEW APPROACH FOR REFRACTORY GERD FOLLOWING LAPAROSCOPIC SLEEVE GASTRECTOMY

Video Transcription

Video Summary

Transoral antirefluxplication (TARP) offers a new minimally invasive solution for GERD refractory to medical therapy following laparoscopic sleeve gastroplasty. A 54-year-old female with severe GERD post-surgery underwent this novel procedure, involving endoscopic revision and antirefluxplication. Using a dual-channel endoscope, sutures reduced the gastric lumen and created a neofundus to lessen acid reflux. A post-procedure pH study demonstrated complete resolution of acid reflux, showing promise for TARP as an effective treatment. Future research is needed to confirm the long-term efficacy of this approach for managing GERD and related post-surgical complications.

Asset Subtitle

Danny Issa

Keywords

Transoral antirefluxplication

GERD treatment

minimally invasive

endoscopic revision

post-surgical complications