Division of General Surgery
Endoscopic Transoral Incisionless Fundoplication (TIF) or Esophyx
Some patients may be candidates for a somewhat new procedure known as the transoral incisionless fundoplication (TIF). During a TIF procedure, the TIF device is gently inserted into a patient’s esophagus. Like the laparoscopic Nissen fundoplication, this procedure is performed while the patient is asleep and under general anesthesia.
TIF creates a wrap of stomach around the end of the esophagus much like the Nissen fundoplication. While the Nissen fundoplication is a 360 degree, complete wrap performed from the outside of the stomach, the TIF creates a 240 degree partial wrap from the inside of the stomach. Because the TIF is performed from the inside of the stomach, there is no need for abdominal incisions.
What are the results of the TIF procedure?
Studies show that TIF reliable results in:
Decreased need for GERD medications
Significant improvement in GERD-related symptoms (such as heartburn or regurgitation)
TIF may have additional advantages when compared to laparoscopic Nissen fundoplication that might include fewer side effects and less post-operative pain. TIF is new enough that long-term results are not known. It appears as if the failure rate of TIF is higher than laparoscopic fundoplication, but much less than other kinds of endoscopic antireflux procedures that have been performed in the past.
The reasons to perform a TIF procedure are the same as those for a laparoscopic Nissen fundoplication. Not every patient with GERD is a candidate for TIF (especially patients with a very large hiatal hernia).
A Foregut Surgeon can help determine if a patient is a candidate for TIF, and if this is the best option.
For more information on the TIF procedure, visit the EndoGastric Solutions website at: www.endogastricsolutions.com.