American Foregut Society White Paper on Transoral Incisionless Fundoplication

Gastroesophageal reflux disease (GERD) is a chronic on spectrum that has an array of management options ranging from lifestyle changes, acid suppressive therapy to laparoscopic anti-reflux surgery (LARS). Transoral incisionless fundoplication (TIF) endoscopic procedure in the GERD re-establishes and augments gastroesophageal flap valve (GEFV). TIF appropriate for patients do not have hiatal hernia greater than 2 cm. Patients with cm option either conventional LARS (laparoscopic repair complete or partial fundoplication) concomitant TIF, known as (cTIF). This white paper summarizes published outcome data 2.0 cTIF date outline best practice approaches including patient assessment, selection, cTIF.