OC Reflux - Huntington Beach

TIF vs. Antireflux Surgery

The Principles of Antireflux Surgery

The goal of a fundoplication is to restore the normal functions of the gastroesophageal junction by wrapping the fundus around the distal esophagus in order to:

  •  Reduce or repair a hiatal hernia (if present) by properly positioning the distal esophagus and stomach below the diaphragm
  • Elongate the intraabdominal esophagus
  • Approximate and tighten the fundus around the distal esophagus
  • Recreate the dynamics of the angle of His
  • Restore the distal high pressure zone

The TIF procedure is based on established principles of surgical fundoplication [1-4] for the successful treatment of GERD. Using the EsophyX device surgeons can perform a partial fundoplication via a transoral approach, which delivers similar results without many of the side effects typically associated with Nissen fundoplications.

Transoral Incisionless Fundoplication (TIF)

The main differences between TIF and conventional surgery are:

  • Incisionless Approach: TIF does not require any incisions and is performed transorally. TIF’s incisionless approach means less discomfort, faster recovery and no abdominal incisions.
  • No Dissection: Laparoscopic surgery requires dissection which can increase the risk of complications and adhesions as well as recovery time.
  • Hiatal Hernia Repair: The TIF procedure is best suited for patients with hiatal hernia <2 cm.
  • Strong Safety Profile: To date, over 10,000 patients have been treated with fewer adverse events and complications than conventional antireflux surgery

Due to the unique approach of the TIF procedure, patients typically experience less discomfort, faster recovery and fewer adverse effects. Most patients are able to return to work and normal activities within a few days after their TIF procedure. Results to date for TIF are comparable to those of conventional antireflux surgery.