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Jeffrey Ponsky

Endoscopic Surgery · View profile →

V119 Use of transoral incisionless fundoplication for recurrent reflux after foregut surgery

Video Published 2026-07-29 Updated 2026-07-29

Topic Overview

This video demonstrates transoral incisionless fundoplication (TIF) as a minimally invasive endoscopic approach for managing recurrent gastroesophageal reflux disease following previous foregut surgical procedures. The technique offers a revision option without requiring repeat open or laparoscopic surgery.

Key Takeaways

  • Transoral incisionless fundoplication (TIF) offers a minimally invasive option for managing recurrent GERD after prior foregut surgery.
  • TIF may avoid repeat laparotomy/laparoscopy in patients with failed prior antireflux procedures or hiatal hernia repairs.
  • Patient selection is critical—anatomic factors like hiatal hernia size and prior surgical changes affect TIF feasibility.
  • TIF provides an endoscopic alternative when redo fundoplication carries high surgical risk or patient preference favors less invasive approach.
  • Outcomes data for TIF in the redo setting remain limited compared to primary antireflux procedures—careful counseling required.

Keywords

Transoral Incisionless Fundoplication Tif Procedure Recurrent Gerd Foregut Surgery Endoscopic Fundoplication Postoperative Reflux

Hashtags

#EndoscopicSurgery #GERDTreatment #MinimallyInvasive #ForegutSurgery

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