Transoral Incisionless Fundoplication (TIF) / (cTIF)

What is the TIF Procedure?

Transoral incisionless fundoplication (TIF) is a minimally invasive, non-surgical procedure that corrects a weakened esophageal sphincter, which causes chronic gastroesophageal reflux disease (GERD). Hoag’s skilled physician team offers TIF as a treatment option for patients suffering from GERD symptoms.

The TIF procedure is performed entirely within the stomach under full visualization with an endoscope, and requires no incisions. During a procedure, a patient is placed under general anesthesia and an endoscope, a thin, flexible imaging device, is gently guided into the mouth, down through the esophagus, to the stomach. The device allows the physician to use preloaded, non-absorbable suture-like fasteners to reshape and reinforce the lower esophageal sphincter, and restore the body’s natural barrier to reflux.

The Benefits of TIF
  • Minimally invasive, without incisions
  • Quicker recovery (when compared to traditional nissen fundoplication)
  • No increased problems swallowing or burping
  • No Dysphasia
  • No gas bloat

How is the cTIF Procedure Different?

The cTIF procedure, or concomitant transoral incisionless fundoplication, is when the TIF procedure is performed directly after a laparoscopic hiatal hernia repair, under the same general anesthesia setting. Whereas, the TIF procedure is performed without an incision, the cTIF procedure does require an incision during the hiatal hernia repair. 

Who Qualifies for TIF?

TIF is appropriate for individuals with GERD, who have tried yet found little to no reprieve or symptom relief from daily PPI’s/medications that have also been reported to cause long-tern health side effects, or who do not wish to be on long term PPI medications. It is also for individuals with long term complications due to their GERD like a pre-cancer condition called Barrett’s esophagus.

TIF is covered by some insurance carriers. Please check with your insurance plan to review coverage options.


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