Endoscopic Reflux Treatment

What is TIF?

Over the last several years there has been considerable interest and research in the area of endocsopic (use of a scope placed into the stomach through the mouth) treatment for reflux in order to avoid surgery.  Several devices have been tired, however the EsophyX™ is currently the only one still in use.   This advance in the evolution of the treatment of GERD corrects the root cause of GERD, an anatomic deficiency at the gastroesophageal junction. The  procedure reconstructs a durable antireflux valve and tightens the LES (Lower Esophageal Sphincter), reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction. The result is the effective elimination of GERD.

Is TIF truly incisionless?

TIF is a completely incisionless procedure performed safely, quickly, and with minimal patient downtime. The procedure is called a Natural Orifice Surgery (NOS) procedure because the EsophyX device is introduced into the body through the mouth, rather than through an abdominal incision. The advantages of incisionless surgery over conventional laparoscopic or open GERD surgery include shorter hospital stay, reduced patient discomfort, shortened patient recovery, no visible scars, and typically higher patient satisfaction.

How is TIF performed?

TIF is performed with the patient under general anesthesia, the EsophyX device is introduced into the body transorally (through the mouth) and advanced into the esophagus under visualization of a video camera inserted down the central shaft of the device. The EsophyX device is then used to form and fasten several tissue folds, or plications, to create a robust antireflux valve at the gastroesophageal junction, resulting in the effective elimination of GERD.

What Can I Expect?

In recent studies, TIF patients reported 80% improvement in quality of life, significantly improved satisfaction, and reduction/elimination of heartburn symptoms. All patients discontinued medication after the TIF procedure and 79% were still completely off daily medication two years after the procedure.  TIF, with the EsophyX device, has been proven safe in over one thousand procedures worldwide. To date, side effects have been minimal.  The procedure itself will generally take less than one hour.  Most patients can return to work the next day or within a few days following their TIF procedure.  Patients should expect to experience some discomfort in their chest, nose and throat for the first few days to a week. Patients will be asked to restrict physical activity for the first week and will be given dietary guidelines to help maximize their success while the tissue heals.

The key benefits of TIF?

  • Allows for effective, long-term solution to GERD
  • No external skin incisions – no scarring
  • No internal cutting or dissecting of the natural anatomy – more rapid recovery
  • Eliminates heartburn in over 85% of patients
  • Gets 79% of patients off PPIs 2 years after the procedure
  • Allows for earlier intervention
  • Improves quality of life score by 64% over PPIs (sleeping, late night eating, food choices, etc.)
  • Reduces hiatal hernia in 89% of patients
  • Restores the angle of His
  • Fewer adverse events and complications
  • Leaves future options open
  • Can be revised if required