Transoral Incisionless Fundoplication (TIF)

June 11, 2009
Traditional procedures for the treatment of GERD have focused on surgery to reconstruct the defective valve guarding the esophagus against regurgitation.Laparoscopic fundoplication is the most common surgery. There have been attempts to simulate the effects of surgical treatment by strengthening the valve endoscopically. Radiofrequency energy, injections of polymer and other techniques have been tried, but none has approached the effectiveness of surgical fundoplication.

Transoral Incisionless Fundoplication (TIF), or Esophyx, is a next generation procedure that doesn’t attempt to simulate the results of surgery, rather to replicate them. In other words, TIF is a method of performing surgical fundoplication without the need for surgical incisions.

TIF is an FDA-approved endoscopic technique of suturing the junction of the stomach and esophagus in much the same manner do during surgery. These sutures reconstruction the valve function of the area and reduce GERD. Not all patients are candidates for TIF, but your surgeon can determine whether you may consider TIF.

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