TIF Procedure

About the TIF Procedure

The TIF procedure, an innovative form of incisionless transoral natural orifice surgery,reconstructs the body’s natural antireflux barrier.

TIF stands for “Transoral Incisionless Fundoplication” and is performed with the innovative EsophyX surgical device. A unique form of “Natural Orifice Surgery,” or NOS for short, TIF represents the next step in the evolution of minimally invasive surgery and offers a huge leap in the evolution of the treatment of GERD.

Similar to laparoscopic GERD surgery, TIF is used to treat the underlying anatomical cause of GERD by reconstructing the body’s natural antireflux barrier and restoring the competency of the gastroesophageal junction, resulting in the effective elimination of GERD.

An Entirely Incisionless Procedure

Because the TIF procedure is performed entirely through the patient’s mouth, or “transorally” in medical terms, there are no abdominal incisions in the skin.

  • Transoral: TIF is performed from within the GI tract. The EsophyX device is inserted through the patient’s mouth.
  • Incisionless: There are no skin incisions, resulting in reduced discomfort, faster recovery, and better patient satisfaction.
  • Fundoplication: This term refers to folding the part of the stomach called the fundus to create folds, or “plications,” to form an antireflux valve.

Based on the Proven Principles of Conventional GERD Surgery

The TIF procedure is closely based on the well-established principles of conventional GERD surgery and delivers similar benefits but with less patient discomfort, faster recovery, and fewer adverse effects. Most patients are able to return to work and normal activities within a couple of days after their TIF procedure.

While heartburn is a common symptom, many GERD patients also suffer from ‘atypical’ symptoms such as sore throat, regurgitation or acid taste in the mouth, chronic cough, laryngitis, dental erosions, discomfort in the ears and nose, and asthma-like symptoms caused by the aspiration of stomach contents into the lungs.



Candidates for the TIF Procedure

The TIF procedure is most appropriate for people suffering from moderate to severe GERD who:

  • Experience heartburn or non-heartburn symptoms of GERD on a regular basis
  • No longer respond adequately or are dissatisfied with pharmaceutical therapies
  • Are concerned about the long-term adverse effects of a lifetime of taking pills

The Key Benefits

  • Incisionless surgery, performed through the mouth, not through an incision
  • Anatomical repair eliminates need for pills
  • Reduces or eliminates possible long-term adverse effects of taking pills (Long-term use of PPIs has been shown to increase incidence of osteoporosis and hip fractures, particularly among women over 50.)

What’s involved in the endoscopic TIF procedure?

The Transoral incisionless fundoplication is a new advanced technique where the stomach is wrapped from the inside of the esophagus using an endoscope and without making an incision. It is performed under general anesthesia and requires an overnight hospitalization. Only hiatal hernias that can be reduced with the endoscope can be done by this method.  So far the  results have been very good, however long term results are not yet available.  Dr. Thomas will help you decide if this or the laparoscopic Nissen is your best choice.

Contact us or call 713-936-0777and learn more about the benefits of TIF Procedure.