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TIF - Transoral Incisionless Fundoplication

​​​​​Commonly referred to as heartburn, GERD is as abnormally frequent or chronic acid reflux, normally when stomach fluid backs up into the esophagus exposing it to the acids of the stomach.

Left untreated, this prolonged exposure may result in inflammation, irritation and/or swelling of the esophagus. It can ultimately result in ulcers, stricture, hemorrhage or precancerous changes.

To treat GERD, TIF® is a surgical procedure performed under general anesthesia through the mouth and without incisions. It actually allows the surgeon to reconstruct an antireflux valve creating a physical barrier to reflux. Thus it eliminates both the acidic symptoms of reflux (heartburn and sore throat) and other associated symptoms such as asthma, cough and regurgitation.

Proven Results

Our general surgeon on staff at Baylor Scott & White Medical Center – Centennial is currently performing the TIF® procedure with positive results, and is supported by a gastroenterologist on our medical staff. Together, they are providing chronic GERD sufferers an alternative treatment that has proved effective in reducing or eliminating their GERD symptoms and getting them off their long term medications.

The Transoral Incisionless Fundoplication (TIF®) U.S. Registry recently reported more than 80 percent of patients report ongoing improvement or complete elimination of GERD symptoms two years after undergoing the TIF® procedure, reported at the 2013 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting.

There are also applications for using the TIF® in combination with other treatment procedures like the da Vinci Surgical System, and the use of the EsophyX® device to perform the incisionless TIF® procedure. These hybrid robotic cases can help treat GERD and repair hernias. This approach may provide a faster recovery for the patients than traditional hiatal hernia repair.

We look forward to discussing the benefits of the TIF® procedure to see if it is right for you.​

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery with Single-Site Instruments. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Potential risks include conversion to other surgical techniques and multiple incisions. Patients should talk to their doctors to decide if da Vinci is right for them. Visit ​ for more detailed safety information. The implementation of a da Vinci Surgery program is practice- and hospital-specific. Results will vary. Past customer experience does not imply any guarantee of results in practice or program success. Unless otherwise noted, all people depicted are models. © 2014 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. PN 1003049 Rev B 5/14
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