About the EsophyX® TIF Procedure2020-03-08T16:07:35+00:00
About Esophyx: The procdure

Incisionless TIF Procedure using the EsophyX® device for Acid Reflux & GERD Treatment

Now there is an effective, long-term incisionless solution for people suffering from acid reflux or GERD who are:

  • Experiencing heartburn or other symptoms of GERD more than once a week

  • Concerned about the side effects of taking acid reflux medications, such as the potential increased risk for gastrointestinal infections, dementia, and kidney disease

  • Concerned about Barrett’s esophagus and esophagus cancer due to long-term acid reflux and GERD

TIF stands for “Transoral Incisionless Fundoplication” and is performed with the EsophyX device. EsophyX TIF is a minimally invasive procedure and offers a new advancement in the treatment of chronic acid reflux and GERD by reconstructing the body’s own anti-reflux barrier.

The EsophyX device and an endoscope are introduced together through the patient’s mouth (transorally) and advanced into the esophagus. With an endoscope, the doctor uses the EsophyX device to reconstruct the anti-reflux valve by wrapping the stomach’s fundus around the distal esophagus and securing it with poly-propylene fasteners.

The EsophyX TIF procedure generally takes about 30-45 minutes, and most patients can go home the next day and return to work and most normal activities within a few days.

An Entirely Incisionless Procedure: Because the EsophyX TIF procedure is performed entirely through the patient’s mouth, there are ZERO incisions in the skin.

Combination Hiatal Hernia Surgical Repair & TIF Procedure

Very often patients with GERD also present with a hiatal hernia. In this situation, depending on the need for a hiatal hernia repair, the majority of health insurance plans will pay for the TIF procedure when combined with laparoscopic hiatal hernia surgery. Data has shown the concomitant hiatal hernia repair with the TIF procedure can successfully eliminate GERD.

When GERD is not treated, serious complications can occur, such as esophageal stricture (a narrowing of the esophagus), bleeding, or a pre-cancer change in the lining of the esophagus called Barrett’s esophagus.

If you have questions about whether your insurance provider covers the TIF procedure, contact a representative of your plan directly.

How EsophyX TIF works…

A completely incisionless procedure, EsophyX TIF reconstructs the original physiology of the anti-reflux barrier to provide a solution to the structural root cause of GERD. The procedure is for patients who are concerned about the long-term effects of daily use of reflux medications, such as potential increased risk for gastrointestinal infections, dementia, and kidney disease.

After the Procedure

Most patients can go home the following day and return to work and most normal activities within a few days. Patients should expect to experience some discomfort for 3-7 days after the procedure and will need to maintain a post-procedure diet as outlined by their doctor.

Patient compliance with their doctor’s post-procedure recommendations allows the repair to properly heal. Specific instructions will vary by patient and are at the doctor’s discretion. For best results, strict adherence to your doctor’s instructions is highly recommended.

EsophyX TIF is a procedure performed through the mouth, which reconstructs the barrier between the stomach and esophagus to prevent stomach fluids from refluxing up into the esophagus. EsophyX TIF is used to treat acid reflux and gastroesophageal reflux disease (GERD).

EsophyX TIF procedure involves no incisions, so it has less risk than open surgery, reduced recovery time, and no visible scar.

The EsophyX TIF procedure is performed safely, quickly, and comfortably, with no incisions and with minimal recovery time.

While under anesthesia the flexible EsophyX device will be gently lowered through the mouth into the stomach under the visualization of an endoscope “video” placed down the shaft of the device.

Once inside the stomach, the doctor will manipulate the device to create a tight-sealing valve and hold it in place with suture-like fasteners. The procedure typically lasts no more than 30 to 45 minutes.

Most patients can return to work the next day or within a few days following their EsophyX TIF procedure. You will likely experience some manageable discomfort in their chest, nose, throat, and stomach for the first few days to a week.

You will be asked to restrict physical activity for the first week and will be given dietary guidelines to help maximize your success while your new anti-reflux valve heals.

No, some people are better off having either a different procedure or to have medications and lifestyle advice instead.

You shouldn’t have this procedure done if you:

  • Have A Co-Existent Medical Condition Which Increases Risk e.g. Severe heart disease, bleeding disorder
  • Large hiatus hernia
  • Esophageal Stricture
  • Pregnancy
  • Abnormal Stomach or Esophageal Anatomy
  • Are Under 18 Years of Age

The EsophyX TIF procedure is often covered by insurance carriers. If you have questions about whether your insurance provider covers the EsophyX  TIF procedure, contact a representative of your plan directly.

Yes! The TIF procedure offers patients who require an anatomical repair an effective treatment
option to correct the underlying cause of GERD. In a 2016 U.S. study, 90% of patients experienced
elimination of their regurgitation and 88% of patients experienced elimination of their
troublesome atypical symptoms. And 71% of patients were able to completely stop taking their
PPIs after the procedure. A study in Europe also showed excellent results with durability seen out
to 6 years.

The TIF Procedure has an excellent safety profile. To date, the TIF procedure has been performed
on more than 25,000 cases worldwide with minimal complications and a serious adverse event
rate under 0.5%. Clinical studies demonstrate that properly selected TIF patients rarely experience
long-term side effects commonly associated with traditional antireflux surgery, such as chronic
trouble swallowing, gas bloat syndrome, and increased flatulence.

There should not be a need to undo the TIF procedure. Most patients experience positive
outcomes and can eliminate or reduce their need for therapy. If your symptoms recur, we will work
at that time to identify additional treatment options to help manage your GERD.

Yes. The EsophyX device used in the TIF procedure is indicated for use on a hiatal hernia under 2cm.
The product has FDA clearance allowing patients with hiatal hernias larger than 2cm to have their
hiatal hernias repaired surgically to less than 2cm. This is performed in a separate surgery followed
immediately by a TIF procedure, all under the same anesthesia session. Often insurance companies
cover the TIF procedure when it is combined with the hiatal hernia repair surgery.

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