TIF 2.0 Procedure All About TIF 2.0

Are you suffering from GERD (Gastroesophageal reflux disease)? The TIF 2.0 procedure may restore your body’s natural protection against reflux. Here is what you should know about your TIF procedure:

What is TIF 2.0?

The TIF 2.0 procedure (TIF stands for Transoral Incisionless Fundoplication) is designed to reposition and reconstruct a durable anti-reflux valve while also tightening the Lower Esophageal Sphincter (LES). It is performed endoscopically through the mouth, meaning there are no incisions necessary.

Why is the TIF procedure done?

Treatment for GERD varies, and chronic GERD sufferers may benefit from incisionless interventions and/or laparoscopic surgeries designed to reconstruct the anatomical components of the anti-reflux barrier. This approach restores the body’s normal defense against reflux.

TIF patients often experience a faster recovery since there is no internal cutting, as long as hernia repair is not needed, and clinical studies demonstrate they rarely experience long-term side effects commonly associated with traditional anti-reflux surgery.

What preparations are required?

After being assessed with endoscopy to confirm a hiatal hernia or loose lower esophageal valve, a barium esophagram or motility study may be needed at the discretion of the physician.

On the day of the procedure, you should have nothing to eat or drink, for approximately 12 hours before the procedure. The TIF procedure cannot be performed if there is food in your stomach.

Tell your doctor in advance about any medications you take; you might need to adjust your usual dose for the procedure. Discuss any allergies to medications as well as medical conditions, such as heart or lung disease.

What happens during the procedure?

Procedures will vary depending on if you are undergoing just TIF or combined hernia repair and TIF.  In either case, sedation will be used to help you relax so you can safely undergo the procedure. If you are undergoing hernia repair, this will be performed by the surgeon first. Next, you will undergo an endoscopy and the TIF device will be used to create the fundoplication.  Please discuss with your physician regarding exact steps for the procedure.  

What happens after the procedure?

You will be monitored until most of the effects of the medication have worn off. For the first few days, you will experience some pain and/or discomfort in your chest and shoulder and you may have a sore throat, and/or some discomfort swallowing. You will be able to eat, with strict dietary guidelines after you leave unless your doctor instructs you otherwise.

If you have been given sedatives during the procedure, someone must drive you home and stay with you. Even if you feel alert after the procedure, your judgement and reflexes could be impaired for the rest of the day.

Can I take my current medications?

Most medications can be continued as usual, but some medications can interfere with the preparation or the procedure. Inform your doctor about medications you’re taking, particularly aspirin products or antiplatelet agents, arthritis medications, anticoagulants (blood thinners such as warfarin or heparin), clopidogrel, insulin or iron products. Also, be sure to mention any allergies you have to medications.

ASGE – The Source for Colonoscopy and Endoscopy