The American Foregut Society has issued new guidance on best practices for transoral incisionless fundoplication for the management of gastroesophageal reflux disease.
TIF, which reestablishes and augments the gastroesophageal flap valve to restore its function, is a “great option to treat GERD, with an excellent safety profile and high level of patient satisfaction,” said Olaya Brewer Gutierrez, MBBS, the director of endoscopy at Sibley Memorial Hospital, in Washington, D.C., and a lead author of the white paper. TIF and concomitant TIF (cTIF), in which TIF is combined with laparoscopic hiatal hernia repair in patients with a hiatal hernia larger than 2 cm, are associated with “less bloating and dysphagia compared to the gold standard, laparoscopic Nissen fundoplication, which is appealing to patients.”