Transoral antireflux plication: a new approach for refractory GERD after laparoscopic sleeve gastroplasty

Q3 Medicine

VideoGIE Pub Date : 2025-04-05 DOI:10.1016/j.vgie.2025.04.002

Vismaya S. Bachu MD , Cameron Quon MD , Anna H. Lee MD , Manar Alhanaee MD , Danny Issa MD

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引用次数: 0

Abstract

Background and Aims

New-onset GERD is a common adverse event after laparoscopic sleeve gastrectomy (LSG), with limited treatment options beyond medical therapy or surgical conversion. This case study presents a minimally invasive endoscopic approach—transoral antireflux plication (TARP)—for managing post-LSG GERD.

Methods

A 54-year-old woman with refractory GERD post-LSG underwent endoscopic sleeve revision and TARP. The procedure involved submucosal injection, mucosal incision, and full-thickness endoscopic suturing to reduce gastric volume and create an antireflux barrier.

Results

A pH monitoring study 1 month postprocedure showed significant improvement in reflux parameters and symptom relief, independent of weight loss.

Conclusions

TARP with endoscopic sleeve revision may offer a safe, minimally invasive alternative to surgery for post-LSG GERD. Further research is needed to confirm long-term efficacy and patient selection criteria.

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经口抗反流复制：腹腔镜袖胃成形术后难治性胃反流的新方法

背景和目的新发胃反流是腹腔镜袖胃切除术（LSG）后常见的不良事件，除了药物治疗或手术转换外，治疗选择有限。本病例研究提出了一种微创内镜方法-经口抗反流复制(TARP) -用于治疗lsg后GERD。方法一例54岁女性lsg术后难治性胃食管反流患者行内镜下套筒翻修和TARP治疗。手术包括粘膜下注射、粘膜切口和全层内镜缝合，以减少胃体积并建立抗反流屏障。结果术后1个月的pH监测研究显示反流参数显著改善，症状缓解，与体重减轻无关。结论starp与内镜下套筒翻修可能是一种安全、微创的手术治疗lsg后胃食管反流的替代方法。需要进一步的研究来确认长期疗效和患者选择标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.