ASGE DDW Videos from Around the World | 2026-RELEASING THE WRAP- THIRD-SPACE ENDOSCOPY TO THE RESCUE FOR POST-FUNDOPLICATION DYSPHAGIA

RELEASING THE WRAP- THIRD-SPACE ENDOSCOPY TO THE RESCUE FOR POST-FUNDOPLICATION DYSPHAGIA

Video Transcription

Video Summary

Persistent dysphagia after Nissen fundoplication can severely affect quality of life and is often treated with surgical wrap revision or balloon dilation. In this case, a 44-year-old woman developed severe dysphagia and weight loss after surgery. Tests showed a tight fundoplication wrap causing gastroesophageal junction outflow obstruction. Because she declined surgery, doctors performed third-space endoscopic fundoplication release: a submucosal tunnel was created, a myotomy exposed the wrap, and the constricting muscle was divided. The patient improved immediately, resumed oral intake the next day, and remained symptom-free at 3 months with normal follow-up studies.

Asset Subtitle

R. Puri, H.P. Jain, S. Mehta, H. Panchal, Z.D. Sharma, P. Rawal

Keywords

dysphagia

Nissen fundoplication

endoscopic fundoplication release

gastroesophageal junction obstruction

submucosal tunnel myotomy