Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of
gastroesophageal reflux disease (GERD). The TIF procedure, similar to
Nissen fundoplication, alleviates GERD symptoms by wrapping a portion of the stomach around the esophagus.[1]
The TIF procedure, unlike laparoscopic fundoplication, does not require surgical incisions. Instead a surgical device (called the EsophyX) is inserted into the mouth, passed through the throat, and into the stomach. An
endoscope is utilized to perform the procedure.[2]
A minority of individuals who undergo the TIF procedure also require a
hiatal hernia repair operation.[3] The procedure is performed while the person is under general anesthesia[4] and is typically an outpatient procedure.[1]
Medical use
Transoral incisionless fundoplication may improve symptoms in
gastroesophageal reflux disease, at least in the short term.[5] Benefits from the TIF procedure may last for up to 6 years.[6]
Complications
The risk of severe complications is 2.4%.[7] About 1 in 30 people have major complications from the procedure.[5]
History
The device utilized to perform the procedure, called EsophyX, was developed by EndoGastric Solutions. The first TIF procedure utilizing the device was performed in 2005.[8] The device received European Union CE mark in 2006 and United States Food and Drug Administration issued initial 510(k) clearance in 2007.[2][9]
In February 2015, the
American Medical Association's CPT Editorial Panel reviewed whether to create a new category 1
current procedural terminology (CPT) code for the TIF procedure. In January 2016, a unique code for the transoral incisionless fundoplication procedure was created and implemented.[10]
As of 2016, more than 17,000 TIF procedures had been performed.[8]
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abWendling, MR; Melvin, WS; Perry, KA (October 2013). "Impact of transoral incisionless fundoplication (TIF) on subjective and objective GERD indices: a systematic review of the published literature". Surgical Endoscopy. 27 (10): 3754–61.
doi:
10.1007/s00464-013-2961-0.
PMID23644835.
S2CID12729228.