Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues

Video Transcription

Video Summary

In this video, Dr. Kenneth Chang from the University of California Irvine demonstrates the TIF (Transoral Incisionless Fundoplication) procedure to treat gastroesophageal reflux disease (GERD). The patient is a 30-year-old male with a two-year history of refractory GERD, partially responsive to proton pump inhibitors (PPI). A previous endoscopy revealed a Hill III hernia with a one-centimeter vertical component. Additional tests, including ambulatory pH monitoring and upper GI imaging, confirmed the diagnosis of GERD. Dr. Chang explains the procedure and demonstrates the placement of the EsophyX Z+ device, which recreates a flat valve and provides a 270-degree wrap around the gastroesophageal junction. He emphasizes the importance of creating a physiologic flat valve and ensuring that the cura is intact. The video shows the step-by-step placement of sutures and demonstrates the final result of a well-formed valve. Dr. Chang concludes by discussing the potential advantages of the TIF procedure and its future role in the management of GERD.

Asset Subtitle

Kenneth Chang, MD

Keywords

TIF procedure

Transoral Incisionless Fundoplication

gastroesophageal reflux disease

GERD treatment

EsophyX Z+ device

physiologic flat valve