ArticleSurgical endoscopy2026
Practice patterns of transoral incisionless fundoplication: results of the TIF-US survey.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Adverse events and device failures of the transoral incisionless fundoplication system: a MAUDE database analysis.Surgical endoscopy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransoral incisionless fundoplication (TIF) is an FDA-approved endoscopic procedure for managing gastroesophageal reflux disease (GERD). Despite growing adoption and supporting evidence, significant variability exists in clinical practice. The study aimed to characterize current TIF practice patterns among U.S.-based gastroenterologists and surgeons.
methodsA 33-question web-based survey was distributed to 305 U.S. physicians that perform TIF. The survey assessed endoscopist demographics, pre-procedure evaluation, procedural techniques, and post-procedure care. Responses were collected via REDCap and analyzed using descriptive statistics.
resultsSixty-eight physicians responded (22.3%) response rate, representing all U.S. regions. Most respondents were gastroenterologists (73.5%), with over half having completed interventional endoscopy training. Only 40.3% learned TIF during formal training. Preoperative pH testing was routinely performed by 90% of respondents when GERD diagnosis was not confirmed. The adoption of cruroplasty with TIF (cTIF) is common, with most participants (80.6%) performing both TIF and cTIF in their practice. Nearly half (48%) offered TIF to patients with BMI ≥ 35, despite this being a relative contraindication. Post-procedure, 91% discharged within 24 h. Post-operative opiate prescriptions are common, with 43% of physicians reporting they always prescribe a course of opiates for post-TIF pain. Most practitioners (60%) only perform post-TIF ambulatory pH studies or endoscopy on symptomatic patients.
conclusionsThis first nationwide survey highlights significant heterogeneity in TIF practice patterns, particularly in training, patient selection, and perioperative management. Our findings support the need for standardized training, society guidelines, and additional research to optimize safety and efficacy of TIF.
Indexed as
Identifiers
41466138What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.