(TIF) Transoral Incisionless Fundoplication

What is TIF?

TIF, or Transoral Incisionless Fundoplication, is a procedure that reconstructs the valve between the esophagus and the stomach to prevent reflux. This procedure can treat the reflux associated with chronic GERD.

TIF is based on the same well proven principles of conventional and more invasive laparoscopic GERD surgery. TIF’s advantage is that it is “surgery from within” performed transorally (through the mouth). Clinical studies show that two years after the TIF procedure nearly 80% of patients are off their daily reflux medications and can eat and drink foods and beverages they avoided for many years.

Preparing for TIF

Your doctor will provide you with a set of instructions on how to prepare for your TIF procedure. The most important step is to talk to your doctor about any medical conditions you have, including diabetes and lung or heart problems, and any daily medications you take.

What to Expect During TIF

The TIF procedure generally takes less than an hour and is performed under general anesthesia. Your physician will introduce the EsophyX device (used only for the TIF procedure) with an endoscope down the center of the device guiding through the mouth, esophagus and into the stomach. The endoscope lets the physician see what he or she is doing. The physician uses the EsophyX device to reconstruct the anti-reflux valve. You physician leaves fasteners in place to secure the newly constructed valve while you heal. There’s no need to remove them; typically, the body heals around them.

Your doctor to give you specific instructions about post-procedure care based on your personal situation. You can count on needing to follow a diet that gradually moves from liquids to solids while your restored valve heals. This can take four to six weeks, depending on each individual.

As long as your job doesn’t involve a lot of physical exertion, you may return to work a few days after the procedure. It’s important that you not lift heavy items or do any strenuous physical exercise until your physician sees you for a post follow-up exam.