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Heart & Vascular Services

What is the TIF® Procedure?

Transoral Incisionless Fundoplication (TIF) is an incisionless procedure that treats GERD at its source. This approach uses the EsophyX® device to reconstruct an antireflux valve to restore the body’s natural protection against refflux.

By accessing the gastroesophageal junction (GEJ) through the mouth, there are no scars, minimizing complications and possibly leading to a quicker recovery.

How does it work?
Before the procedure, your physician will determine if you are a candidate by having you undergo diagnostic testing. You will receive instructions on when to stop eating and drinking just prior to the procedure.

The TIF Procedure is performed under general anesthesia and typically takes less than an hour. The EsophyX device and an endoscope are introduced together through your mouth and advanced into the esophagus. With visualization provided by the endoscope, the surgeon uses the EsophyX device to reconstruct and form a new valve.

After the procedure, you may be able to return home the next day. You may also be able to return to work and resume normal activities within a few days. You should expect to experience some discomfort in your stomach, chest, nose and throat for three to seven days after the procedure. While your newly reconstructed valve heals, you will be on a modified diet.

Is the TIF Procedure right for me?

The TIF Procedure is most appropriate for those suffering from GERD who:
Regularly experience troublesome symptoms of GERD

No longer respond adequately or are dissatisfied with pharmaceutical therapies

Are concerned about the adverse long-term effects of taking PPIs

Are considering surgical intervention but are concerned about the complication rate, mortality and potential side effects (e.g., gas bloat, dysphagia, inability to vomit) of laparoscopic antireflux surgery

If you have questions, you should contact SOMC Gastroenterology Associates at 740-356-6828, call 740-356-GERD, or visit





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