TIF – Transoral Incisionless Fundoplication
Transoral incisionless fundoplasty (TIF) is a minimally invasive approach that is able to reconstruct the connection between the esophagus and stomach. By using specialized equipment with a standard endoscopy, the valve can be reconstructed through the mouth without any incisions. The procedure has significantly less side effects, less surgical risk, and shorter recovery time.
TIF is done as an outpatient procedure under general anesthesia. The device allows the surgeon to grasp the tissue at the connection between the esophagus and stomach, pull that connection down and away from the diaphragm, and fold the stomach along side the esophagus, and place fasteners (or stitches) to hold that fold in place. This creates a 270-300 degree full fundoplication of 2.5-3cm length that re-establishes the normal anatomical angles and restores the barrier function of the valve.
Hiatal hernia develops in the muscle of the diaphragm. When this hernia enlarges, is disrupts the barrier preventing stomach content from going the wrong direction. The only treatment is surgical. If left untreated, the hernia continues to enlarge and symptoms worsen over time. If larger than 2cm, this hiatal hernia can be repaired concurrently with the TIF valve reconstruction
PostOp TIF Diet Instructions: