ASGE DDW Videos from Around the World | 2026-REVISIONAL CTIF FOR FAILED TIF: A HYBRID LAPAROSCOPIC

REVISIONAL CTIF FOR FAILED TIF: A HYBRID LAPAROSCOPIC–ENDOSCOPIC APPROACH FOR REFRACTORY GERD

Video Transcription

Video Summary

This video presents a revisional combined transoral incisionless fundoplication (C-TIF) for refractory GERD after failed primary TIF. A 43-year-old man developed recurrent reflux due to a disrupted wrap and 3 cm sliding hiatal hernia. Laparoscopic hiatal dissection and posterior cruroplasty restored intraabdominal esophageal length, followed by redo TIF with 20 full-thickness fasteners to create a 270-degree, 3 cm fundoplication. Postoperatively, symptoms resolved quickly, with only mild transient dysphagia. At 3 months, imaging showed no recurrent hernia, and he remained symptom-free off acid-suppressive therapy. Revisional C-TIF appears safe, feasible, and effective.

Asset Subtitle

Submitted by Maryam AlKhatry

Meta Tag

Concept Transoral Incisionless Fundoplication

Concept Failed fundoplication

Concept Combined Transoral Incisionless Fundoplication

Concept Acid Exposure

Concept Hiatal Hernia

Keywords

revisional C-TIF

refractory GERD

failed TIF

hiatal hernia repair

fundoplication

Transoral Incisionless Fundoplication

Failed fundoplication

Combined Transoral Incisionless Fundoplication

Acid Exposure

Hiatal Hernia