Transoral Incisionless Fundoplication (TIF) Surgery for Gastroesophageal Reflux Disease (GERD)
Transoral Incisionless Fundoplication is a new almost non-invasive surgery.
Gastroesophageal Reflux Disease (GERD) is a condition affecting millions of people where the acidic contents of the stomach refluxes back into the esophagus causing multiple symptoms such as
- Chest pain
- Dryness of the mouth
- Asthma-like symptoms
- Painful swallowing or sore throat
In addition, sleeping may be disturbed and the chronic sufferer will frequently avoid certain foods that seem to exacerbate the symptoms. Some people even develop gum and dental disease as a result of the chronic regurgitation of acid into the mouth.
The condition is caused by a failure of the valve between the end of the esophagus and the stomach. When this opening is chronically open, acid stomach contents can reflux back into the esophagus and cause symptoms.
Medical Treatment for Gastroesophageal Reflux Disease (GERD)
The condition is approached initially from a medical perspective, with weight counseling, avoiding certain food types and eating smaller meals. Medical treatment for GERD consists of medications to reduce the amount of acid produced in the stomach:
- H2-receptor antagonist that inhibits stomach acid production (Zantac®, Tagamet®, Pepcid®, etc)
- Proton-ump inhibitors (PPIs), the most potent inhibitors of acid secretion (Nexium®, Protonix®, Prilosec®, etc)
Surgical Treatment Gastroesophageal Reflux Disease (GERD)
Nissen Fundoplication – Classis Approach to Reflux Surgery
Typically, surgical options are usually offered after failed medical therapy. The classic approach to the reflux would be to perform a fundoplication, where the opening between the esophagus and stomach is reduced in size. Previously, it was performed as an open procedure, but, more recently, laparoscopic approaches have been successfully used to reduce the hospital stay of the patient and result typically in faster recovery.
Transoral Incisionless Fundoplication (TIF) – New Almost Non-invasive Surgery
Transoral Incisionless Fundoplication (TIF) is a new non-invasive surgical technique used to perform similar surgery. Instead of approaching the area to be operated on through a skin incision in the abdomen, the surgeon goes through the mouth of the anesthetized patient and, using endoscopic instruments, can perform the procedure in usually under an hour, without making an incision using a specialized medical device.
Current studies have shown that 93% of patients were reflux symptom-free 2 years after having this procedure, and 79% were no longer taking any medication for their previous complaint.
If you would like to schedule an appointment with one of our physicians at the Texas Center for Obesity Surgery in Plano, please complete an online appointment request or call our office at 214-501-1333.