Common Questions about EsophyX

What is TIF?  
A huge advance in the evolution of the treatment of GERD, the revolutionary TIF (Transoral Incisionless Fundoplication) procedure corrects the root cause of GERD, an anatomic deficiency at the gastroesophageal junction. Performed with the innovative EsophyX surgical device, the procedure reconstructs a durable antireflux valve and tightens the LES (Lower Esophageal Sphincter), reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction. The result is the effective elimination of GERD.

Is TIF truly incisionless?
TIF is a completely incisionless procedure performed safely, quickly and with minimal patient downtime. The procedure is called a Natural Orifice Surgery (NOS) procedure because the EsophyX device is introduced into the body through the mouth, rather than through an abdominal incision. The advantages of incisionless surgery over conventional laparoscopic or open GERD surgery include shorter hospital stay, reduced patient discomfort, shortened patient recovery, no visible scars, and typically higher patient satisfaction.

How is TIF performed?  
Performed with the patient under general anesthesia, the EsophyX device is introduced into the body transorally (through the mouth) and advanced into the esophagus under visualization of a video camera inserted down the central shaft of the device. The EsophyX device is then used to form and fasten several tissue folds, or plications, to create a robust antireflux valve at the gastroesophageal junction, resulting in the effective elimination of GERD.


Is TIF effective?
In recent studies, TIF patients reported 80% improvement in quality of life, significantly improved satisfaction, and reduction/elimination of heartburn symptoms. All patients discontinued medication after the TIF procedure and 79% were still completely off daily medication two years after the procedure.

How long does the procedure take?  
The procedure itself will generally take less than one hour.

What is the recovery like?
Most patients can return to work the next day or within a few days following their TIF procedure.  Patients should expect to experience some discomfort in their chest, nose and throat for the first few days to a week. Patients will be asked to restrict physical activity for the first week and will be given dietary guidelines to help maximize their success while the tissue heals.

The key benefits of TIF?
  • Allows for effective, long-term solution to GERD
  • No external skin incisions – no scarring
  • No internal cutting or dissecting of the natural anatomy – more rapid recovery
  • Eliminates heartburn in over 85% of patients
  • Gets 79% of patients off PPIs 2 years after the procedure
  • Allows for earlier intervention
  • Improves quality of life score by 64% over PPIs (sleeping, late night eating, food choices, etc.)
  • Reduces hiatal hernia in 89% of patients
  • Leaves future options open
  • Can be revised if required