ASGE International Sampler (On-Demand) | 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

Keywords

Nissen fundoplication

endoscopic techniques

GERD

hiatal hernia

full-thickness fundoplasty