Video Tip: Transoral Incisionless Fundoplication | December 2021-Transoral Incisionless Fundoplication

Transoral Incisionless Fundoplication

Video Transcription

Video Summary

The video discusses transoral incisionless fundoplication (TIF), a technique used to recreate the gastroesophageal flap valve from the inside out. This involves applying a series of H-shaped fasteners to create a two to three centimeter long valve of approximately 270 degrees, similar to a toupee fundoplication. Some surgeons have found ways to increase the number of degrees to over 300 with special maneuvers. However, a hiatal hernia of two centimeters or greater should not be present before undergoing TIF. There is some data on using TIF in combination with hiatal hernia repair, either concurrently or in a staged procedure, but large hiatal hernias decrease longevity chances.

Keywords

transoral incisionless fundoplication

gastroesophageal flap valve

H-shaped fasteners

toupee fundoplication

hiatal hernia repair