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Incisionless Relief for GERD (TIF)

For many patients, Acid Reflux (GERD) is a daily struggle that medications like PPIs (Prilosec, Nexium) only partially solve. If you are looking for a solution that treats the cause of reflux rather than just the symptoms—without the need for surgical incisions—the TIF (Transoral Incisionless Fundoplication) procedure may be the answer.

At Advanced Bariatric & Surgical Specialists, Dr. Craig Chang performs the TIF procedure to reconstruct the body’s natural antireflux barrier, providing long-term relief and helping patients get off medications.

We employ the TIF or Transoral Incisionless Fundoplication procedure to correct severe GERD that causes significant quality of life issues. As its name suggests, the procedure does not require any incisions and the entire surgery is performed through the mouth, using the specially made EsophyX device. The TIF procedure essentially rebuilds the barrier between the stomach and esophagus, eliminating acid and non-acid-related symptoms. This is particularly appealing to patients who do not wish to undergo traditional laparoscopic surgery, which may leave unsightly scarring and has several side effects.

What is the TIF Procedure?

TIF stands for Transoral Incisionless Fundoplication. It is a cutting-edge, minimally invasive treatment for GERD that is performed through the mouth (transoral). Because there are no skin incisions, there are no visible scars and the recovery is significantly faster than traditional reflux surgery.

How It Works

The procedure uses a specialized device (the EsophyX®) that is lowered through the esophagus under general anesthesia.

  • The Device: Dr. Chang uses the device to fold the upper part of the stomach (the fundus) around the base of the esophagus.
  • The Fasteners: The fold is secured with tiny, non-absorbable fasteners.
  • The Result: This creates a new, sturdy valve that prevents stomach acid from splashing back into the esophagus.
>How It Works

Benefits of TIF

The TIF procedure offers a unique “incisionless” advantage for patients who qualify:

  • No Scars: Performed entirely through the mouth; no external incisions.
  • Faster Recovery: Most patients return to work and normal activities within a few days.
  • High Success Rate: Clinical studies show that up to 80% of patients are able to completely stop taking daily PPIs after the procedure.
  • Fewer Side Effects: TIF has a lower risk of gas bloat and swallowing difficulties compared to traditional Nissen Fundoplication.

Is TIF Right for You?

TIF is an excellent option for patients who:

  • Suffer from chronic GERD symptoms (heartburn, regurgitation).
  • Are dissatisfied with the cost or side effects of long-term medication.
  • Have a hiatal hernia smaller than 2cm (larger hernias may require a “Hybrid” approach where Dr. Chang repairs the hernia laparoscopically before performing the TIF).
  • Want to avoid surgery.

The Recovery Journey

Because there are no external wounds to heal, recovery focuses on the internal repair:

  • Dietary Phases: You will follow a specific liquid-to-soft-food diet for several weeks to allow the new valve to heal securely.
  • Activity: Most patients can resume light activity the day after surgery, though heavy lifting should be avoided for a short period.
  • Symptom Relief: Many patients notice an immediate reduction in reflux symptoms.

Why Choose Dr. Chang for TIF?

Dr. Craig Chang is a leader in reflux surgery in the Victoria and Corpus Christi areas. His expertise in both laparoscopic and endoscopic (incisionless) techniques allows him to tailor the treatment specifically to your anatomy. We don’t believe in a “one-size-fits-all” approach to GERD—we believe in the approach that works best for your life.

Next Steps

You don’t have to manage your life around your next dose of antacids. Schedule a consultation at our Victoria or Corpus Christi office to see if you are a candidate for the TIF procedure.