Transoral Incisionless Fundoplication Treatment for GERD - V. Raman Muthusamy, MD | UCLA Health

Explore an in-depth video lecture on Transoral Incisionless Fundoplication (TIF) treatment for Gastroesophageal Reflux Disease (GERD) presented by Dr. V. Raman Muthusamy from UCLA Health Digestive Disease. Gain comprehensive insights into the anatomy of the gastroesophageal junction, causes of GERD, and various treatment approaches including laparoscopic Nissen fundoplication and endoluminal therapies. Delve into the evolution, mechanics, and evidence base of the TIF procedure, including patient selection criteria, procedural details, and post-operative management. Compare TIF with traditional surgical methods, examine systematic reviews and meta-analyses, and understand potential adverse events and areas for future research. Learn about UCLA's specific dietary instructions for patients and explore resources available for both patients and healthcare providers. Conclude with an overview of UCLA's Interventional Endoscopy Team and the Robert G. Kardashian Center for Esophageal Health.

Intro
Overview
Anatomy of the GEJ
Anatomical Causes for GERD
Anatomy: The Mechanics of Symptoms
Laparoscopic Nissen Fundoplication
Surgical Rx of GERD - Barriers
Fundoplication - Long-Term Follow Up
Endoluminal (Endoscopic) Treatment of GERD
Endoscopic Approaches
Endoluminal Treatment: Approved devices
Criteria to Evaluate Therapies
Summary of Results
Terminology
Evolution of TIF
Impact of Device Modifications
TIF vs. Lap Fundoplication
Schematic Video of TIF Procedure
Contraindications
Assessing the GEJ: Hill Grade
Axial and Transverse Hiatal Hernia Measurements
Patient Selection
Procedure and Post-procedure management
Upon Discharge....
Post-procedure: Diet
UCLA Specific Diet Instructions
Resources for Patients and Providers
TIF: Primary References Used
TIF: The Evidence Base
Summary of TIF Data
Systematic Reviews of TIF • Meta-analysis of 32 TIF studies
TIF 2.0 Data Summary
TIF & pH Reduction
Adverse Events
Areas for future study
TIF vs. Surgery
My 20 year history of antireflux procedures to treat GERD
TIF: The Team
Interventional Endoscopy Team
Robert G. Kardashian Center for Esophageal Health UCLA ROBERT G.KARDASHIAN CENTER
Questions?