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Case Reports in MedicineVolume 2013 2013, Article ID 280628, 3 pages

Case Report

Section of General Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03766, USA

Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03766, USA

Received 9 February 2013; Accepted 22 April 2013

Academic Editor: William B. Silverman

Copyright © 2013 Konstantinos Spaniolas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Gastroesophageal reflux disease GERD is a common entity in the United States. Surgical fundoplication can be performed safely with well-established long-term results. In selected patients with GERD, endoluminal therapy has a potential role. We report on a patient with recurrent GERD after two prior fundoplications who wished to pursue endoscopic treatment. The presence of a gastrostomy tube allowed for the performance of a transgastric-assisted endoluminal fundoplication using the EndoCinch TM device and standard pediatric laparoscopic instruments. Symptomatic relief of GERD with EndoCinch TM is common but the long-term outcomes are limited. Nevertheless, the EndoCinch TM device remains a method for endoscopic suturing in certain settings. In patients with gastrostomy access, the use of laparoscopic instruments may further enable the performance of advanced endoscopic therapies.

Author: Konstantinos Spaniolas, Richard I. Rothstein, and Thadeus L. Trus



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