Transoral Incisionless Fundoplication
The TIF procedure is not performed through an incision, but transorally. With this technology, the anti-reflux valve at the gastroesophageal junction is restored to proper valve function. The procedure generally takes less than one hour, and most patients can return to normal activity within 1-3 days. Clinical studies show that 80% of patients remain off daily PPIs at three years following the procedure. Importantly, the TIF 2.0 procedure has repeatedly been proven to avoid post-fundoplication symptoms such as gas bloat, flatulence, dysphagia, and diarrhea.
The TIF Procedure is a good solution for moderate to severe GERD patients who are:
- Dissatisfied with pharmaceutical therapies and the burdensome lifestyle changes (sleeping, eating, etc.) that they are forced to make to manage symptoms
- Suffering from non-acid symptoms of reflux such as asthma, persistent cough or sore throat
- Dissatisfied with progressively increasing dosages of their reflux medications that may or may not be controlling symptoms
- Concerned about the potential long-term side effects from dependence on proton pump inhibitors
For patients with a hiatal hernia > 2cm, a concomitant laparoscopic hiatal hernia repair may be performed immediately preceding the endoscopic TIF Procedure.
Below is a short animation reviewing GERD, followed by another animation that gives an overview of the TIF procedure.
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Dr. Anthony Pozzessere specializes in performing diverticulitis surgeries using the laparoscopic method which calls for small, precise incisions to be made at the operating site. Being committed to patient-centered care, Dr. Anthony prefers to adopt those methods which will cause minimum disruption to a patient’s life, and which will help them recover as quickly as possible after surgery.