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1
Intro
2
Overview
3
Anatomy of the GEJ
4
Anatomical Causes for GERD
5
Anatomy: The Mechanics of Symptoms
6
Laparoscopic Nissen Fundoplication
7
Surgical Rx of GERD - Barriers
8
Fundoplication - Long-Term Follow Up
9
Endoluminal (Endoscopic) Treatment of GERD
10
Endoscopic Approaches
11
Endoluminal Treatment: Approved devices
12
Criteria to Evaluate Therapies
13
Summary of Results
14
Terminology
15
Evolution of TIF
16
Impact of Device Modifications
17
TIF vs. Lap Fundoplication
18
Schematic Video of TIF Procedure
19
Contraindications
20
Assessing the GEJ: Hill Grade
21
Axial and Transverse Hiatal Hernia Measurements
22
Patient Selection
23
Procedure and Post-procedure management
24
Upon Discharge....
25
Post-procedure: Diet
26
UCLA Specific Diet Instructions
27
Resources for Patients and Providers
28
TIF: Primary References Used
29
TIF: The Evidence Base
30
Summary of TIF Data
31
Systematic Reviews of TIF • Meta-analysis of 32 TIF studies
32
TIF 2.0 Data Summary
33
TIF & pH Reduction
34
Adverse Events
35
Areas for future study
36
TIF vs. Surgery
37
My 20 year history of antireflux procedures to treat GERD
38
TIF: The Team
39
Interventional Endoscopy Team
40
Robert G. Kardashian Center for Esophageal Health UCLA ROBERT G.KARDASHIAN CENTER
41
Questions?
Description:
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.

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

University of California, Los Angeles
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