Skip to Content

Transoral Incisionless Fundoplication

Acid Reflux Surgery (TIF Procedure)

If you have heartburn twice a week or more, you may have acid reflux disease, also known as Gastroesophageal Reflux Disease (GERD). Heartburn is the most common symptom, but you may also experience:

  • Excessive clearing of the throat
  • Persistent cough
  • Hoarseness or sore throat
  • Regurgitation
  • Frequent swallowing
  • Asthma or asthma-like symptoms
  • Pain or discomfort in the chest
  • Reflux-related sleep disorders
  • Yellow fluid or stains on pillow after sleep
  • Burning in the mouth or throat
  • Intolerance of certain foods
  • Bloating
  • Dental erosions or therapy-resistant gum disease or inflammation

What is GERD?

GERD is caused by anatomic changes in the body’s natural antireflux valve, or gastroesophageal valve (GEV). Normally, after swallowing, the valve between the esophagus and stomach opens to allow food to pass, and then it closes to prevent stomach contents from refluxing into the esophagus. Excessive weight, diet, aging and injuries to the abdomen are among the factors contributing to the deterioration of the antireflux valve.

What is TIF?

TIF (Transoral Incisionless Fundoplication) treats the underlying cause of GERD without incisions. This innovative procedure reconstructs the antireflux valve using a device called the EsophyX device and restores the body’s natural protection against reflux.

The EsophyX device and the endoscope are gently inserted through the mouth.

The device forms and fastens tissue folds to reconstruct the antireflux valve at the junction of the esophagus and the stomach.

Is TIF effective?

In recent studies, TIF patients reported 80% improvement in quality of life, significantly improved satisfaction, and reduction/elimination of heartburn symptoms. All patients discontinued medication after the TIF procedure, and 79% were still completely off daily medication two years after the procedure.

Benefits of TIF:

  • No external skin incisions – no scarring
  • No internal cutting or dissecting of the natural anatomy – more rapid recovery
  • Fewer adverse events and complications
  • Does not limit future treatment options
  • Can be revised if required

Is TIF safe?

TIF has been proven safe in use in thousands of procedures worldwide. To date, side effects have been minimal.

What can I expect?

TIF is performed under general anesthesia and will require you not to eat or drink for several hours prior to the procedure. The procedure itself will generally take less than one hour. Most patients can go home the next day and can return to work and most normal activities within a few days. Patients should expect to experience some discomfort in their stomach, chest, nose and throat for the first few days to a week after the procedure. Patients will be asked to restrict physical activity for the first week and will be given dietary guidelines to help maximize their success while the tissue heals.