Combining Transoral Incisionless Fundoplication and Endoscopic Sleeve Gastroplasty (F-ESG): An Endoscopic Approach to Treat Pathologic Gastroesophageal Reflux in Obesity - Summary - MDSpire

Combining Transoral Incisionless Fundoplication and Endoscopic Sleeve Gastroplasty (F-ESG): An Endoscopic Approach to Treat Pathologic Gastroesophageal Reflux in Obesity

  • By

  • Maryam Alkhatry

  • Jamil Samaan

  • Barham Abu Dayyeh

  • February 18, 2026

  • 0 min

Share

Objective:

To evaluate the feasibility, safety, and 12-month outcomes of a combined approach of Transoral Incisionless Fundoplication (TIF) and Endoscopic Sleeve Gastroplasty (ESG) in managing obesity-related GERD.

Key Findings:
  • F-ESG effectively combined TIF and ESG in a single session.
  • No significant technical issues were reported during the procedures.
  • Follow-up data indicated improvements in GERD symptoms and weight loss.
Interpretation:

The F-ESG approach may provide a synergistic solution for patients with obesity-related GERD, addressing both conditions simultaneously with minimal invasiveness.

Limitations:
  • Small sample size and short follow-up duration.
  • Lack of a control group for comparative analysis.
Conclusion:

F-ESG represents a promising endoscopic strategy for managing obesity-related GERD, warranting further investigation in larger studies.

Original Source(s)

Related Content