The transoral incisionless fundoplication is a minimally invasive treatment for gastroesophageal reflux disease (GERD) that is performed in the outpatient setting. The TIF procedure is performed from inside the patient’s stomach without incisions. This procedure delivers patient outcomes similar to those provided by conventional ARS procedures, but is less invasive, has fewer adverse effects, and does not limit future treatment options. Following the principles of ARS, the TIF procedure repairs the anti-reflux barrier by reducing a hiatal hernia (≤ 2 cm), and creating a valve 2 to 4 cm in length and greater than 270 degree circumferential wrap, thus restoring the dynamics of the angle of His.
What Is Transoral Incisionless Fundoplication?
Fundoplication procedures have been used to effectively treat patients with GERD for over 50 years. The TIF procedure differs from a traditional fundoplication procedure because it is performed through the mouth rather than through laparoscopy or open abdominal incisions.
During a TIF procedure, the patient is placed under general anesthesia so that the EsophyX device, used with a flexible endoscope, can be gently introduced into the stomach under constant visualization. The endoscope and the device are retroflexed and a helical retractor is engaged into the tissue slightly distal to the Z line. The fundus of the stomach is folded up and around the distal esophagus utilizing the tissue mold and chassis of the device. After locking all the tissue manipulating elements, an integrated suction apparatus is activated to gently grasp the distal esophagus and position it in the abdominal cavity distal to the diaphragm. H-shaped SerosaFuse fasteners, made of polypropylene with strength equivalent to 3-0 sutures, are then delivered through apposed layers of esophageal and fundus tissue to anchor the repair. This process is repeated to create a full thickness, partial circumference, gastroesophageal fundoplication. Approximately 20 fasteners are implanted during the procedure to create fusion of the esophageal and fundus tissues and form the valve.
TIF Procedure in Los Angeles, CA
Dr. Dahiya is trained in the TIF procedure and maintains strong adherence to the established principles of traditional antireflux surgery. Dr. Dahiya has performed numerous successful procedures at our certified Bariatric Surgery Center in Los Angeles County. To schedule a consultation please fill out the form below and we will contact you as soon as possible.
so grateful for my doctor and his well coordinated staff! they have helped me change my lifestyle and Amelia is always a text away any question she has always been there!
Our family has been with Shyam Dahiya Medical Group since it's started and we cannot express our gratitude enough to all medical and non-medical staff of the clinic. Everyone is always happy to serve and always goes beyond and above especially when dealing with elderly members of our family. The efficiency of the doctors always save us trouble when it comes to proper care for my dad and grandmother. The professionalism of all its non-medical staff is way beyond our expectations and always make us want to come back. Thank you all for your service and Kudos for Shyam Dahiya MD family.
Just saw Dr. Shyam Dahiya at his Lakewood office today for my Grandmothers' follow up visit after her surgery. I assumed that he would just tell us the basis of the results, but I was so impressed with the service and how he explained in detail the result of her exams. We are all very happy with the service we got from this office
Amazing people. So helpful. Love the way they have treated my mom and family. Truly grateful to entire staff.
We would like to give our special thanks to Dr.Dahiya and Ms. Amelia for doing extra miles to help our family. My mother felt their genuine care and respect as they helped and treated her. This medical group is highly recommended for people who are looking for family-oriented and highly hospitable care and services. We also would like to give thanks to the rest of their medical staff for being efficient and always ready to help us out.