Transoral incisional fundoplication for reflux after peroral endoscopic myotomy: a crucial addition to our arsenal.

ABSTRACT:

Introduction

 Increased esophageal acid exposure is seen in a large percentage of patients with achalasia who undergo peroral endoscopic myotomy (POEM). Endoscopic transoral fundoplication (TIF) is a novel endoscopic technique for the management of patients with chronic gastroesophageal reflux (GERD). We present the first case series evaluating the role of TIF post-POEM.

Methods

 Consecutive patients 18 years or older from our academic institution who underwent a POEM procedure and subsequently underwent TIF for symptomatic reflux or regurgitation between December 2014 and June 2017 were included. The primary outcome was discontinuation of proton-pump inhibitor (PPI) use and healing of esophagitis (when initially present) on post-procedure esophagogastroduodenoscopy (EGD). T

SUBMITTER: Tyberg A 

PROVIDER: S-EPMC5943699 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature