Clinical Results for Concomitant Laparoscopic Hiatal Hernia Repair + TIF (c-TIF)2021-01-14T01:27:06+00:00

Clinical Results for Concomitant Laparoscopic Hiatal Hernia Repair + TIF (c-TIF)

c-TIF helps GERD without the long-term side effects of conventional anti-reflux surgery (i.e., Nissen fundoplication).

Two recent studies demonstrate c-TIF as a minimally invasive, effective, and safe method of achieving GERD relief in patients with larger hiatal hernias.

In one study, Dr. Janu describes the outcomes of c-TIF in 99 patients that were not candidates for TIF alone due to the presence hiatal hernias > 2 cm in size. Prior to this intervention, all of these patients had persistent acid reflux symptoms despite proton-pump inhibitor acid-blocking medication. After c-TIF, patients found significant relief in heartburn symptoms and improved satisfaction with their current health condition. Furthermore, whereas over 90% of patients were taking once or twice daily proton-pump inhibitors before c-TIF (with inadequate symptom control), almost 75% of patients were never taking a PPI 1 year after undergoing this procedure.

In the second study, Dr. Ihde also reports that 55 patients that underwent c-TIF found significant reduction in GERD symptoms. Acid levels were also objectively measured in these patients with significant reduction following c-TIF. In fact, 76% of patients had completely normalized acid levels within the esophagus on follow-up testing. 

In both of these studies, no procedure-related complications occurred. Very importantly, side effects that occur commonly after anti-reflux surgery including the inability to burp or vomit or presence gas-bloat syndrome did not occur following c-TIF. 


  • Janu P et al. Laparoscopic hiatal hernia repair followed by transoral incisionless fundoplication with the EsophyX device (HH + TIF): efficacy and safety in two community hospitals. Surg Innov, 2019 Dec;26(6):675-686.
  • Ihde et al. pH Scores in hiatal repair with transoral incisionless fundoplication. JSLS. Jan-Mar 2019;23(1):e2018.00087.
  • This field is for validation purposes and should be left unchanged.