A novel endoscopic approach for the treatment of hiatal hernia combined with refractory gastroesophageal reflux disease

Hiatal hernia (HH) is an important cause of refractory gastroesophageal reflux disease (GERD) [1]. Repair of hiatal hernias primarily relies on surgical intervention, with a lack of robust options for endoscopic treatments [2]. Here, we report a case in which a hiatal hernia combined with refractory GERD was successfully treated by gastric fundal and esophageal mucosal ligation combined with titanium clips (GEML-C).