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Updated: Jul 7, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
An Uncommon Complication of Transoral Incisionless Fundoplication
Abu F Abbasi1, Sultan Ahmed2,3,4, Syed Y Ali5
1Gastroenterology, Mercyhealth Graduate Medical Education (GME) Consortium, Rockford, USA.
Abstract:
In this report, we present a case in which a patient developed hemodynamic instability and melena two days after transoral incisionless fundoplication (TIF), a procedure perceived to have a safer adverse event profile. After the patient was stabilized, repeat esophagogastroduodenoscopy showed a Forrest IIa ulcer on the gastric cardia at the suture site, which was cauterized and resolved. This case highlights that significant hemorrhagic events can occur after a TIF procedure and reviews approaches to anticipate this rare occurrence and steps to prevent it.
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