Mo1283 LEARNING CURVE OF TRANSORAL INCISIONLESS FUNDOPLICATION: A SINGLE ENDOSCOPIST EXPERIENCE

Gutierrez, Olaya I. Brewer; Dbouk, Mohamad; Kannadath, Bijun S.; Siddiqui, Abdul A.; Manuelyan, Zara; Assis, Daniella; Khashab, Mouen A.; Thosani, Nirav; Canto, Marcia I.

doi:10.1016/j.gie.2020.03.2477

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“… 13 , 14 As of 2019, it has been reported that more than 22,000 patients have undergone TIF. 13 An abstract by Brewer Gutierrez et al 15 reported their experience with the learning curve of TIF, which showed a progressive decrease in the total procedure time with experience. They also reported that endoscopists required at least 23 procedures to achieve procedure times <1 hour.…”

Section: Discussionmentioning

confidence: 99%

Safe implementation of transoral incisionless fundoplication as a new technique in a tertiary care center

Bomman

Malashanka²,

Ghafoor³

et al. 2022

Clin Endosc

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Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal disorders causing substantial morbidity in the United States. 1 GERD symptoms occur when stomach contents are refluxed into the esophagus, which results in dis-Background/Aims: Transoral incisionless fundoplication (TIF) is an accepted anatomic treatment for gastroesophageal reflux disease in selected patients. In this report, we analyze our institution's programmatic allocation of resources during the safe implementation of TIF as a new procedure. Methods: A retrospective analysis of all patients who underwent TIF from January 2020 to February 2021 at our institution was performed. The process of initially allocating the operating room (OR) with overnight admission and postoperative esophagram (EG) for added safety, and subsequently transitioning TIF to the endoscopy suite (ES) as an outpatient procedure was described. Patient safety and outcomes were evaluated during transition. Results: Thirty patients who underwent TIF were identified. The mean age was 51.2±16.0 years. TIF was performed in an OR in nine patients (30%) and 21 (70%) in the ES. All the OR patients were admitted overnight and had routine EG. In contrast, four (19%) from the ES group required clinically-indicated admission and three (14.2%) required EG. The mean procedure duration was significantly lower in the ES group (65.7 min vs. 84 min, p=0.02). Conclusions: A stepwise, resource-efficient process was described that allowed safe initiation of TIF as a new technique and its effective transition to a fully outpatient procedure.

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Section: Discussionmentioning

confidence: 99%

Safe implementation of transoral incisionless fundoplication as a new technique in a tertiary care center

Bomman

Malashanka²,

Ghafoor³

et al. 2022

Clin Endosc

View full text Add to dashboard Cite

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Mo1283 LEARNING CURVE OF TRANSORAL INCISIONLESS FUNDOPLICATION: A SINGLE ENDOSCOPIST EXPERIENCE

Abstract: TXTransoral Incisionless Fundoplication (TIF) is a minimally invasive endoscopic technique proven to be safe and effective for treating Gastroesophageal Reflux Disease (GERD) in selected patients. The learning curve of this technique has not been studied.

Cited by 1 publication

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Safe implementation of transoral incisionless fundoplication as a new technique in a tertiary care center

Safe implementation of transoral incisionless fundoplication as a new technique in a tertiary care center

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