Digestive Disorders

EndoCinch (Endoscopic Fundoplication)

Endo Cinch is an alternative treatment for GERD. This procedure is less invasive than some other treatments for GERD. The procedure may reduce your daily use of medication, relieve symptoms, and decrease regurgitation.

During the procedure, your doctor will place a series of stitches in the lower esophagus to create a pleat in the sphincter. This pleat alters the opening between the stomach and esophagus and potentially prevents acid from flowing out of the stomach (which is what causes the burning sensation).

Preparation

Your stomach must be empty. Before the procedure you should have nothing to eat or drink after midnight, including water. Your doctor will tell you about any changes in your medications for the day of the procedure.

During the Procedure

Your throat will be numbed with a spray.
Your doctor will give you a medication through a vein to make you feel relaxed.
You will lie on your left side for the procedure.
The tube will be put into your mouth and then the doctor will ask you to swallow.
A nurse will be present to assist you before, during, and after the procedure.

After the Procedure

After the procedure is done you will be moved to a recovery area where you will rest for one hour or until the effects of the medication have worn off. Your throat may feel sore for a couple of days after the test. You may feel fullness in your stomach because of the air used during the procedure. You must have someone drive you home because of the medication given.

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Last Reviewed: Apr 25, 2008

D. Roy Ferguson, MD
Interim Director, Director of Endoscopy Unit, Associate Professor
Gastroenterology-Hepatology Division
MetroHealth Medical Center
School of Medicine
Case Western Reserve University