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Digestive Disease Interventions
DOI: 10.1055/s-0044-1789216
Review Article

How I Do It—Transoral Incisionless Fundoplication with Concomitant Hiatal Hernia Repair

Michael Johannes Pflüger
1   Division of Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins Hospital, Baltimore, Maryland
,
Olaya Brewer-Gutierrez
2   Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Medicine, Baltimore, Maryland
,
Brett Colton Parker 
1   Division of Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins Hospital, Baltimore, Maryland
› Author Affiliations Funding No funding was received for this manuscript.
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Abstract

Transoral incisionless fundoplication with concomitant hiatal hernia repair (cTIF) is an antireflux procedure that combines hiatal hernia repair with TIF. As such, it restores the antireflux barrier using a two-step, hybrid procedure utilizing both minimally invasive surgery and endoscopy in one operative procedure. In this article, we discuss the procedure as well as its role in the armamentarium of interventions for gastroesophageal reflux disease and outline technical details.

Keywords

GERD - fundoplication - antireflux surgery - TIF - therapeutic endoscopy


Publication History

Received: 07 May 2024

Accepted: 15 July 2024

Article published online:
09 September 2024

© 2024. Thieme. All rights reserved.

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