What is the TIF Procedure for Reflux?

Suffering from Heartburn, Nausea or Vomiting?

Schedule a consultation with one of our experienced physicians to see if the TIF Procedure is right for you.

The minimally-invasive TIF 2.0 procedure (TIF stands for Transoral Incisionless Fundoplication) is designed to reposition and reconstruct a durable anti-reflux valve while also tightening the Lower Esophageal Sphincter (LES) to restore the body’s natural protection against reflux. It is performed endoscopically through the mouth, meaning there are no incisions necessary.

Abdominal incisions are not required unless additional treatments are being performed with the TIF procedure, such as a hiatal hernia repair (HHR). For patients presenting with both GERD and a hiatal hernia measuring >2cm, a laparoscopic or robotic hiatal hernia repair may be performed immediately prior to the endoscopic TIF procedure. The HHR plus TIF procedure can be performed in the same anesthesia setting should patient anatomy dictate repair of both a hernia and the antireflux valve.

What is GERD?

Gastroesophageal reflux disease (GERD) is a chronic condition caused by changes in the gastroesophageal valve (GEV) that allows acid to flow back from the stomach into the esophagus.

GERD Prevalence and Impact

GERD is the most common gastrointestinal-related diagnosis made by physicians during clinical visits in the U.S.

It is estimated that pain and discomfort from acid reflux impacts over 80 million people at least once per month in the U.S.

GERD can have a significant impact on a patient’s quality of life through persistent typical and atypical symptoms, inconsistent sleep patterns, dietary restrictions, additional health care costs, and lost productivity from work.

See https://www.gerdhelp.com/gerd-references/ for more information.

GERD Symptoms

GERD can lead to both typical and atypical bothersome symptoms, which can vary from mild or moderate to severe depending on the individual. These symptoms can include:

  • Abdominal fullness or bloating
  • Asthma
  • Bad breath
  • Choking while eating or drinking
  • Chronic sore throat
  • Dental erosions or gum disease
  • Difficulty swallowing
  • Discomfort in ears and nose
  • Excessive salivation
  • Excessive throat clearing
  • Feeling of lump in throat
  • Frequent burping

Diagnosing GERD

  • Gas
  • Heartburn and chest pain
  • Laryngitis and hoarseness
  • Persistent dry cough
  • Regurgitation of food or sour liquid
  • Scratchy throat
  • Sensation of food stuck in the throat
  • Shortness of breath
  • Sour or bitter taste in the mouth
  • Sudden coughing episodes
  • Trouble sleeping
  • Wheezing

GERD can range in severity and can be a primary condition or a set of symptoms secondary to other chronic gastrointestinal conditions(e.g. nausea, vomiting, inflammatory bowel diseases). Determining the source of typical and/or atypical symptoms is critical to an appropriate treatment plan.

A physician can diagnose GERD based on the presentation of common symptoms, especially in patients with more mild cases. However, the diagnosis of more chronic GERD can be challenging, given the variety of symptoms and manifestations.

Some tools a physician may use to diagnose GERD include patient history questionnaires, Esophagogastroduodenoscopy or Endoscopy (EGD), pH monitoring, Impedance, Upper GI Series (Barium Swallow or Esophagram), and Manometry.

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