Society: SSAT

53-year-old female with a past medical history of hypertension, hiatal hernia and gastroesophageal reflux disease (GERD) presented with daily heartburn (improved by PPIs), regurgitation, and chronic cough. Upper endoscopy revealed 7 cm hiatal hernia, LA class C esophagitis and hill-grade 3-4. Esophageal biopsies were negative for eosinophilic esophagitis. Manometry showed IRP 4.9 mm and weak or absent contractility. Gastric emptying study revealed no delay. Patient underwent laparoscopic hiatal hernia repair with concomitant transoral incisionless fundoplication (cTIF). Postoperative endoscopy showed created omega shape valve. Patient was discharged postoperative day 1 without complications.

Ninh Nguyen

Appearances