A systematic review of seven observational studies involving 306 patients found that concomitant hiatal hernia repair with transoral incisionless fundoplication (CTIF) is a viable alternative for refractory gastroesophageal reflux disease (GERD). The study highlighted a median proton pump inhibitor discontinuation rate of 73.8% and notable improvements in validated GERD questionnaires. Complications were low, with a 4.4% incidence rate, suggesting CTIF offers comparable short-term efficacy and safety to conventional anti-reflux surgery.
Review by Jaber F, Ayyad M (…) Skef W et 4 al. in Surg Endosc
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