TIF EsophyX Video
TIF, Transoral Incisionless Fundoplication is an incisionless surgical procedure that reconstructs the body’s natural physical barrier to reflux. Inserted through the mouth, the esophagus device is used to construct a durable and anti reflux valve. Reestablishing a natural barrier to reflux. TIF is surgery without incisions or the complications associated with more invasive surgical procedures. TIF is performed under constant visualization by the surgeon.
While the patient is under general anesthesia the esophagus device riding over the endoscope is gently guided down through the patient’s mouth into the stomach. The stomach is inflated and the endoscope is advanced and turned so that it’s looking up at the entrance to the stomach. This is where the anti reflux valve will be created. The tissue mold is then advanced into the stomach, the tissue retractor is engaged at the z-line. A line that marks where the stomach and esophagus come together. The tissue is retracted into the tissue mold, some patients may have a small hiatal hernia. A condition where the portion of the stomach has migrated up through the diaphragm into the chest cavity. If present hiatal hernia can be reduced and the esophagus can be lengthened by retracting the endoscope into the esophagus. Suction is then engaged and then the stomach is repositioned down below the diaphragm. The esophagus device is then rotated wrapping the fundus around the lesser curvature of the stomach. Under visual control the esophagus device is then used to deploy two eight shaped fasteners to hold the fold of tissue in place and maintain the wrap. The wrap is then tightened further and the next set of fasteners are placed one centimeter above the z-line. This procedure is repeated on the opposing side. The valve is extended, creating a long three to five centimeter flap and securing it with eight shaped fasteners.
TIF is long lasting the studies show that in the weeks following a nature healing process called transoral-fusion occurs creating a layer of fibrous and fibrous-elastic tissue to bond and secure the tissues faults. Durability of the valve and clinical ethical (SEE) of the valve have been confirmed in long term studies. Clinical results have been excellent comparable to more evasive procedures, but without incisions or the long term complications associated with laparoscopic procedures for reflux.