Efficacy and patient satisfaction of single-session transoral incisionless fundoplication and laparoscopic hernia repair.

Surgical Endoscopy
Catherine GisiViktor Eysselein

Abstract

Transoral incisionless fundoplication (TIF) is an effective endoscopic treatment for refractory GERD with small or absent hiatal hernia (< 2 cm in length and width). The single-session laparoscopic hernia repair followed by transoral incisionless fundoplication (HH + TIF) aims to repair mechanical defects in the lower esophageal sphincter that leads to GERD in patients with hiatal hernias ≥ 2 cm. The procedure effectively treats GERD without causing added post-surgical dysphagia and gas bloating commonly associated with partial laparoscopic fundoplication. We aimed to assess patient satisfaction, symptom resolution, safety, and proton pump inhibitor use following the HH + TIF procedure. Thirty-three patients underwent single-session laparoscopic hernia repair with intraoperative TIF using the EsophyX Z device (EndoGastric Solutions, Inc.) between June 2015 and June 2018. The presence of GERD and normal esophageal motility were confirmed with pH testing and manometry prior to the procedure. Data were collected on pre- and post-procedure symptoms, patient satisfaction, PPI use, and complications. Median post-procedure follow-up with symptom surveys was 9 months (11-29 months). Patients reported significant decreases in common GER...Continue Reading

References

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May 21, 2019·Gastrointestinal Endoscopy·Fateh BazerbachiBarham K Abu Dayyeh

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Citations

Apr 4, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michel Gagner

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