Surgical Treatment for GERD

TIF Procedure vs Conventional Anti-Reflux Surgery

While many patients may be dissatisfied with the medicines available to treat their GERD symptoms, some are wary of traditional antireflux surgery, such as Nissen fundoplication. This concern may be due to the incisions required, the associated risks, and undesirable long-term side effects such as bloating, trouble swallowing, inability to belch or vomit, and increased flatulence.

The TIF procedure bridges the treatment gap between medication and more invasive surgery.

Because the procedure is performed entirely through the patient’s mouth, there are no abdominal incisions and no scars from the procedure.

TIF Procedure

Owensboro Health Gastroenterology is the only provider of the TIF procedure in Owensboro, KY and surrounding areas. Dr. Miguel Lalama is trained and certified to perform TIF and has helped patients find permanent relief from GERD with this procedure.

What does TIF mean?

TIF is an acronym:

  • Transoral – The procedure is performed from within the GI tract, through the patient’s mouth
  • Incisionless – There are no incisions, resulting in reduced risk and discomfort, faster recovery, and no scars
  • Fundoplication – The anti-reflux valve is reconstructed by wrapping the upper portion of the stomach (fundus) around the esophagus

How does the TIF procedure work?

The TIF procedure is performed through the mouth without incisions. A surgeon utilizes the EsophyX device to reconstruct the valve between the esophagus and the stomach and restore the body’s natural protection against reflux. The TIF procedure is a partial fundoplication, which more closely mimics the body’s normal anatomy.

Benefits and risks of the TIF procedure

  • No visible scars
  • No risk for a skin infection (as there are no skin incisions)
  • Fewer complications during and after surgery
  • Reduced patient discomfort
  • Shortened patient recovery
  • Shorter hospital stay
  • Few of the typical long-term side effects from traditional surgical approaches

Anticipated risks with the TIF procedure include temporary discomforts such as sore throat, shoulder pain, difficulty swallowing, nausea, or vomiting.

Get answers to Frequently Asked Questions.

Educational videos

Check out the videos on our GERD Youtube playlist to see animations and procedure information.

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