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

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  • 1

    Obesity significantly increases the risk and severity of gastroesophageal reflux disease (GERD), complicating treatment options.

  • 2

    Current treatments for obesity-related GERD, including PPIs and sleeve gastrectomy, often fail to address underlying issues.

  • 3

    The Fundoplication-ESG (F-ESG) technique combines Transoral Incisionless Fundoplication and Endoscopic Sleeve Gastroplasty in a single session.

  • 4

    F-ESG aims to enhance the anti-reflux barrier while reducing gastric volume, potentially improving outcomes for patients.

  • 5

    The study evaluates the feasibility and safety of F-ESG, with follow-up assessments on reflux and weight outcomes at 12 months.

Original Source(s)

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

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