P0859 - Patient Outcomes Following Transoral Incisionless Fundoplication and Magnetic Sphincter Augmentation with Concomitant Hiatal Hernia Repair

Sunday, October 22, 2023

3:30 PM – 7:00 PM PT

Location: Exhibit Hall

Has Audio

Presenting Author(s)

Corbin Stephens, MD

Overland Park Regional Medical Center
Overland Park, KS

Corbin Stephens, MD¹, Alexandria Dennison, MD¹, Syed Jafri, MD²
¹Overland Park Regional Medical Center, Overland Park, KS; ²Menorah Medical Center, Overland Park, KS

Introduction: Transoral incisionless fundoplication (TIF) and magnetic sphincter augmentation (MSA) have both demonstrated success in treating gastroesophageal reflux disease (GERD). However, data comparing the two interventions while undergoing concomitant hiatal hernia repair is lacking. In this study, we analyzed patient outcomes of TIF and MSA with concomitant hiatal hernia repair.

Methods: Patients that underwent TIF or MSA between the years of 2018 and 2021 at Menorah Medical Center were included. The patient’s symptoms were assessed using a GERD-HRQL (Health Related Quality of Life) questionnaire before and > 6 months after the intervention.

Results: GERD-HRQL scores decreased on average by 47.1% in the MSA patients and 81% in the TIF patients. Proton pump inhibitors (PPIs) were discontinued in 53% of the MSA patients and 36% of TIF patients.

Discussion: In this study, TIF was more effective than MSA when combined with concomitant hiatal hernia repair in reducing the severity of gastroesophageal reflux symptoms and PPIs use in patients. Future studies with a larger patient population are needed to corroborate these findings.

Device	Total	Age (Years)	BMI (kg/m²)	Hill Grade Hiatal Hernia (Pre-Procedure)	LA Grade Esophagitis (Pre-Procedure)
MSA	15	52 (28-79)	32 (22-47)	I (0), II (0), III (12), IV (3)	A (0), B (1), C (0), D (0), None (14)
TIF	14	51 (37-76)	31.3 (22-49)	I (0), II (1), III (4), IV (9)	A (0), B (2), C (3), D (1), None (8)

Table: TIF and MSA Patient Characteristics

Disclosures:

Corbin Stephens indicated no relevant financial relationships.

Alexandria Dennison indicated no relevant financial relationships.

Syed Jafri indicated no relevant financial relationships.

Corbin Stephens, MD¹, Alexandria Dennison, MD¹, Syed Jafri, MD². P0859 - Patient Outcomes Following Transoral Incisionless Fundoplication and Magnetic Sphincter Augmentation with Concomitant Hiatal Hernia Repair, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.