Transoral Incisionless Fundoplication (TIF)

Service: Type:
Minimally Invasive Surgery

Treatment Offered At

Transoral Incisionless Fundoplication (TIF®) is a procedure that treats laryngopharyngeal reflux (LPR) and GERD at its source. This incisionless approach uses the EsophyX® device to rebuild an antireflux valve to restore the body’s natural protection against acid reflux. By accessing the gastroesophageal junction through the mouth, there are no scars, minimizing complications and possibly leading to a quicker recovery. Based on the same well proven principles of conventional, more invasive laparoscopic GERD surgery, the TIF procedure reconstructs the valve between the esophagus and the stomach to prevent reflux.

Benefits of the TIF procedure include:

  • No external skin incisions – no scarring.
  • No internal cutting or dissecting of the natural anatomy – more rapid recovery. 
  • Very safe. Fewer adverse events and complications than other antireflux surgical procedures.
  • Does not limit future treatment options.

The TIF procedure is performed under general anesthesia and generally takes less than an hour, depending upon patient anatomy. The physician uses the EsophyX device to repair the antireflux valve from within the stomach.

The EsophyX device and an endoscope are introduced together through the patient’s mouth and moved through the esophagus into the stomach. The endoscope enables the physician to directly view the antireflux valve as he or she is rebuilding it with the EsophyX device.  This involves wrapping the upper portion of the stomach around the damaged lower portion of the esophagus and securing it with poly-propylene fasteners. The fasteners are left in place to secure the newly constructed valve while healing occurs.

Most patients can return home the same or following day and can resume going to work and participating in most ordinary activities within a few days. Specific instructions will vary patient-to-patient and at the physician’s discretion. For best results, it is highly recommended to fully follow physician instructions.

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