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TIF® is FDA approved procedure for Transoral Incision less Fundoplication, also effectively treats hiatal hernias of 2 centimeters or less, without the abdominal incisions or internal cutting used in standard fundoplication surgery.

The EsophyX device is inserted orally with a thin, flexible tube called an endoscope to reconstruct and tighten the lower esophageal sphincter (LES), the body’s natural barrier to stomach acids, the procedure takes less than an hour while the patient is under general anesthesia.

TIF® procedure:

  • The EsophyX device is delivered with the endoscope to the lower esophageal sphincter, where the esophagus meets the stomach. The physician, using a high-definition camera attached to the endoscope, positions the device within the lower esophageal sphincter muscle to create a sturdy anti-reflux valve and prevent any backwash of stomach acids.

  • The TIF procedure differs from a traditional fundoplication procedure because it is performed through the mouth rather than through laparoscopy or open abdominal incisions.

After TIF® procedure:

  • The patient is usually sent home the following day and is able to return to work and normal activities within a few days.

  • Patients can expect to be restricted at first to liquids and then soft food diet for several weeks.

  • Often they are able to discontinue antacid medications within a month after the procedure.

  • Some Studies show that the procedure is effective in controlling or eliminating reflux, and more than 70 percent of patients were still off medication 3-5 years after the procedure.

Which patients can benefit from TIF® ?

  • Patients with typical GERD symptoms and suboptimal control of their symptoms on PPIs who do not have a large hiatal hernia or esophageal motility problems.

  • Patients with GERD symptoms and mild to moderate anatomic abnormalities of the gastro esophageal junction valve function that require correction.

  • Patients preferring an alternative management strategy for their GERD that does not involve long-term medication use.

Benefits of TIF® EsophyX

  • No external incisions or scarring.

  • No internal cutting or dissection of natural tissues.

  • More rapid recovery with fewer complications.

  • No medications needed within a week or two after the procedure.

  • No reflux within a month after the procedure.

  • Improves quality of life (sleeping, food choices, eating late).

  • Doesn’t limit future treatment options.

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