Transoral antireflux plication: a new approach for refractory GERD after laparoscopic sleeve gastroplasty.

ABSTRACT: New-onset GERD is a common adverse event after laparoscopic sleeve gastrectomy (LSG), with limited treatment options beyond medical therapy or surgical conversion. This case study presents a minimally invasive endoscopic approach-transoral antireflux plication (TARP)-for managing post-LSG GERD. A 54-year-old woman with refractory GERD post-LSG underwent endoscopic sleeve revision and TARP. The procedure involved submucosal injection, mucosal incision, and full-thickness endoscopic suturing to reduce gastric volume and create an antireflux barrier. A pH monitoring study 1 month postprocedure showed significant improvement in reflux parameters and symptom relief, independent of weight loss. TARP with endoscopic sleeve revision may offer a safe, minimally invasive alternative to surgery for p

SUBMITTER: Bachu VS 

PROVIDER: S-EPMC12366424 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature