Causes of Acid Reflux


Transoral Incisionless Fundoplication (TIF) treats the underlying cause of Gastroesophageal Reflux Disease (GERD) without incisions. This innovative procedure reconstructs the antireflux valve and restores the body’s natural protection against reflux.

The Procedure
A device, called the EsophyX, and the endoscope are gently inserted through the mouth. The device then forms and fastens tissue folds to reconstruct the antireflux valve at the junction of the esophagus and the stomach. TIF is performed under general anesthesia and will require you not to eat or drink for several hours prior to the procedure. The procedure itself will generally take less than one hour.

Most patients can go home the next day and can return to work and most normal activities within a few days.
Patients should expect to experience some discomfort in their stomach, chest, nose and throat for the first few days to a week after the procedure. Patients will be asked to restrict physical activity for the first week and will be given dietary guidelines to help maximize their success while tissue heals.

Benefits of TIF
-    No external skin incisions – no scarring
-    No internal cutting or dissecting of the natural anatomy – more rapid recovery
-    Fewer adverse events and complications
-    Does not limit future treatment options
-    Can be revised if required

Has my surgeon been specially trained?
Every TIF surgeon receives specialized training including lectures and hand-on training with a certified TIF trainer.

What is GERD?
GERD is caused by anatomic changes in the body’s natural anitreflux valve, or gastroesophageal valve (GEV). Normally, after swallowing, the valve between the esophagus and stomach opens to allow food to pass, then it closes to prevent stomach contents from refluxing into the esophagus. Excessive weight, diet, aging and injuries to the abdomen are among the factors contributing to the deterioration of the antireflux valve.



Michael Parra

Michael Parra, MD

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