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Updated: Jan 25, 2026
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
How to choose among fundoplication, magnetic sphincter augmentation or transoral incisionless fundoplication
Lauren Rabach1, Adham R Saad, Vic Velanovich
1Division of General Surgery, University of South Florida, Tampa, Florida, USA.
Purpose Of Review:
To examine current trends and research in nonmedical approaches to the treatment of gastroesophageal reflux disease (GERD).
Recent Findings:
Long-term studies of GERD patients treated with transoral incisionless fundoplication (TIF) have found that a large portion of patients resume proton pump inhibitor therapy. In patients with uncomplicated GERD, magnetic sphincter augmentation (MSA) shows excellent short-term results in both patient satisfaction and physiologic measures of GERD, with fewer postoperative side-effects than fundoplication, although dysphagia can be problematic.
Summary:
Fundoplication remains the standard of care for patients with GERD complicated by hiatal hernias more than 2 cm, Barrett's esophagus and/or grade C and D erosive esophagitis. For the patient with uncomplicated GERD, MSA appears to be a viable alternative that has greater technical standardization and fewer postoperative side-effects than fundoplication. TIF remains an option for patients with refractory GERD who refuse surgical intervention.
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