About the TIF Procedure
The Transoral Incisionless Fundoplication procedure (TIF) represents the next step in the field of minimally invasive surgery for the treatment of GERD.
Physicians perform the TIF procedure through the mouth without incisions. They then utilize the EsophyX device to reconstruct the valve between the esophagus and the stomach and restore the body’s natural protection against reflux.
Benefits of the TIF procedure:
- No scars, due to incisionless approach of the surgery
- Faster recovery, since there is no internal cutting of the natural anatomy
- Fewer adverse events and complications than conventional surgery
- Patients can have TIF procedure revised, if necessary
TIF is an acronym:
- Transoral – Physicians perform the procedure from within the stomach, through the patient’s mouth
- Incisionless – TIF-trained physicians make no incisions, resulting in reduced risk and discomfort, faster recovery, and no scars
- Fundoplication – Physicians reconstruct the antireflux valve by wrapping the upper portion of the stomach (fundus) around the esophagus
While many patients may be dissatisfied with the medicines available to treat their GERD symptoms, some are wary of traditional antireflux surgery. This concern may be due to the incisions required, the associated risks, and undesirable long-term side effects such as bloating, trouble swallowing, and increased flatulence.
The TIF procedure bridges the treatment gap between medication and more invasive surgery (as seen in the diagram below). Because surgeons perform the procedure entirely through the patient’s mouth, they make no abdominal incisions and leave no scars from the procedure.
To date, over 20,000 TIF procedures have been performed worldwide.
Anticipated risks with the TIF procedure include temporary discomforts such as sore throat, shoulder pain, difficulty swallowing, nausea, or vomiting. For more information regarding the risks associated with this procedure, click here.
How the TIF Procedure Works to Relieve GERD
The TIF procedure with the EsophyX device reconstructs the antireflux valve at the entrance from the esophagus into the stomach. This valve opens and closes as you swallow food and acts as a physical barrier to reflux. By preventing reflux, the procedure eliminates both the acidic symptoms of reflux, such as heartburn and sore throat, and the non-acid, atypical symptoms, such as asthma, chronic cough, and regurgitation.
Similar to laparoscopic antireflux surgery, the TIF procedure is used to treat the underlying anatomical cause of GERD by reconstructing the dynamics of the body’s natural antireflux barrier.
If you have GERD and are interested in learning more about the TIF procedure, consult a specialist near you.