Trans-Oral Incisionless Fundoplication (TIF). Issue 2 (June 2021)

• Record Type: Journal Article
• Authors: Chang, Kenneth J.
• Is Part Of: Foregut. Volume 1:Issue 2(2021)
• Page Start: 173
• Page End: 178
• Publication Date: 2021-06
• Subjects: esophagitis -- fundoplication -- gastroesophageal reflux -- hiatal hernia -- humans -- laparoscopy -- proton pump inhibitors -- treatment outcome reflux; 616.3
• DOI: 10.1177/26345161211024935
• Languages: English
• ISSNs: 2634-5161

Abstract

Transoral Incisionless Fundoplication (TIF) is designed to create a 3 cm length, 270° to 300°, omega-shaped flap valve, reconstructing the structure and function of the lower esophageal sphincter (LES), including the gastric sling fibers. As such, TIF is a treatment option for GERD patients with an intact crura, but have lost the integrity and function of the LES. In patients requiring a hernia repair, TIF can be used concomitantly (cTIF). While there are a number of steps to the TIF 2.0 procedure, many of the sequences are repetitive and follow a standardized protocol, optimizing efficiency, safety, and scalability.