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Esophyx Procedure

Transoral Incisionless Fundoplication

For patients with gastro esophageal reflux disease (GERD) in need of a fundoplication, we usually offer laparo-endoscopic single site (LESS) fundoplication, or in some cases, robotic fundoplication. However, some patients are high risk operative candidates because of multiple morbidities or a history of multiple abdominal operations. For these patients, endoscopic treatments are offered. One of the most popular endoscopic treatments is the Transoral Incisionless Fundoplication (TIF). The junction between the esophagus and stomach is accessed through the mouth, without any surgical incisions; The EsophyX device is used to construct a 270 degree wrap (fundoplication) around this junction, from within the stomach. This wrap serves as an antireflux valve, similar to the surgically constructed fundoplications.

The duration of TIF is usually less than an hour, depending upon the anatomy of the patient and the expertise of the operator. Most patients are discharged the same day or the following day of the procedure, and return to work and normal activities within a few days.

The procedure is associated with a high success rate, and some studies report comparable results to surgical fundoplications. The procedure is safe, with the most common side effects being temporary sore throat, shoulder pain, difficulty swallowing, bloating sensation, nausea, and vomiting. Most of these symptoms are relieved spontaneously in less than a week.

Although TIF is effective and safe, patients with certain conditions should not undergo the procedure, including patients with esophageal diverticulae, large hiatal hernias (>2 cm), limited neck mobility, esophageal varicies, and esophageal strictures.

Please contact our office today at (813) 964-7913 if you are interested in finding out if you are a candidate for this procedure.

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Sharona Ross, M.D. - Tampa Laparoscopic Surgeon
Located at 3000 Medical Park Dr, Suite 500 Tampa, FL 33613. View Map
Phone: (813) 615-7030