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Related Experiment Video

Updated: May 10, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Transgastric-assisted endoscopic fundoplication.

Konstantinos Spaniolas¹, Richard I Rothstein, Thadeus L Trus

¹Section of General Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03766, USA.

Case Reports in Medicine

|June 14, 2013

Summary

This summary is machine-generated.

This study details a novel transgastric-assisted endoscopic fundoplication for recurrent gastroesophageal reflux disease (GERD) in a patient with prior surgeries. Laparoscopic instruments facilitated this advanced endoscopic therapy, offering a potential solution for complex GERD cases.

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Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Gastroesophageal reflux disease (GERD) is prevalent, with surgical fundoplication offering established outcomes.
Recurrent GERD after surgery presents a treatment challenge.
Endoluminal therapy is an emerging option for selected GERD patients.

Purpose of the Study:

To describe a novel transgastric-assisted endoluminal fundoplication technique.
To evaluate the feasibility of using laparoscopic instruments with an endoscopic device in a patient with a gastrostomy tube.
To assess symptomatic relief in a patient with recurrent GERD post-multiple fundoplications.

Main Methods:

A transgastric-assisted endoluminal fundoplication was performed using the EndoCinch device.
Standard pediatric laparoscopic instruments were utilized in conjunction with the endoscopic device.
The procedure was conducted in a patient with a history of two prior fundoplications and a gastrostomy tube.

Main Results:

The patient underwent a successful transgastric-assisted endoluminal fundoplication.
Symptomatic relief of GERD was achieved following the procedure.
The use of laparoscopic instruments facilitated advanced endoscopic therapy in this complex case.

Conclusions:

Transgastric-assisted endoluminal fundoplication using the EndoCinch device is feasible in select patients with gastrostomy access.
Laparoscopic instruments can enhance the performance of advanced endoscopic therapies.
While symptomatic relief is common, long-term outcomes of EndoCinch require further investigation.