How the TIF Procedure Works

TIF (Transoral Incisionless Fundoplication) treats the underlying cause of GERD without incisions. The surgery is performed through the mouth using a device called EsophyX. Below are steps for how the procedure is performed.

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Step 1

The Device, with the flexible endoscope placed down the center channel of the device, is introduced through the mouth into the esophagus as one unit. The endoscope is retroflexed and device is positioned at the gastroesophageal junction (GEJ) to rebuild the valve.

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Step 2

A full thickness tissue fold at the GEJ is retracted, wrapped and secured using implantable fasteners equivalent to 3-0 sutures - to create an esophagogastric plication.

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Step 3

The valve is extended and approximately 20 fasteners are delivered to form at 270° wrap. The TIF®2.0 procedure reconstructs the primary components of the anti-reflux barrier, creating a tight 3cm-length valve enveloping the distal esophagus below the diaphragm.