# An Uncommon Complication of Transoral Incisionless Fundoplication

## TL;DR

A patient experienced severe bleeding after a minimally invasive stomach procedure, highlighting rare but serious risks.

## Contribution

This case report highlights a rare but significant complication of TIF and offers insights into prevention.

## Key findings

- A patient developed hemodynamic instability and melena after TIF.
- A gastric cardia ulcer was found and treated with cauterization.
- The case emphasizes the need for vigilance regarding rare post-TIF bleeding events.

## Abstract

In this report, we present a case in which a patient developed hemodynamic instability and melena two days after transoral incisionless fundoplication (TIF), a procedure perceived to have a safer adverse event profile. After the patient was stabilized, repeat esophagogastroduodenoscopy showed a Forrest IIa ulcer on the gastric cardia at the suture site, which was cauterized and resolved. This case highlights that significant hemorrhagic events can occur after a TIF procedure and reviews approaches to anticipate this rare occurrence and steps to prevent it.