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Transoral Incisionless Fundoplication (TIF)

Incisionless Surgery to Treat Gastroesophageal Reflux Disease (GERD)

First Incisionless Surgery to Treat Heartburn Performed at Northeast Georgia Medical Center – First in Northeast Georgia

Surgery without an incision is now a possibility. The new Transoral Incisionless Fundoplication procedure, or TIF®, using the innovative EsophyX® device for the treatment of gastroesophageal reflux disease (GERD) is now available at Northeast Georgia Medical Center.

Casey J. Graybeal, MD, of Northeast Georgia Physicians Group Surgical Associates, was the first specialist in the Gainesville, and the first in Northeast Georgia, to utilize the TIF procedure in his practice.

Benefits of TIF

The TIF procedure with the EsophyX® device can significantly improve quality of life for many of our reflux patients.  Reflux medications like PPI’s (proton pump inhibitors; for example: Nexium, Prilosec, Prevacid) can help relieve patients’ heartburn symptoms but don’t solve the underlying anatomical problems or necessarily prevent further disease progression. Even on PPI’s, many patients continue to experience symptoms of heartburn and regurgitation and are unable to eat the foods they enjoy.

Recent studies have also begun to document the long term side effects of these medications, among which are inadequate absorption of calcium, increased osteoporosis risk, and higher risk of certain gastrointestinal infections. After the TIF® procedure, clinical trials show that most patients can eat and drink foods they avoided for many years, and most will not require any medication for their reflux. Reflux no longer impacts their lives like it previously did.

How TIF Works

The TIF® procedure is based on established principles of surgical repair of the anti-reflux barrier, except that it is "surgery from within" performed transorally (through the mouth). The TIF® procedure reduces the hiatal hernia and creates a valve between the stomach and esophagus, restoring the natural anatomy to prevent gastroesophageal reflux. Because the procedure is incisionless, there is reduced pain, reduced recovery time and no scars. Other potential benefits include a more normal gastrointestinal function after the procedure, as compared to current surgical techniques.

Recent studies of TIF® have shown that the procedure can reduce patients’ dependency on medications, with 80 percent of patients remaining symptom free and off medications for relux after two years.

For more information, call:

  • Northeast Georgia Medical Center – 770-219-3840
  • Northeast Georgia Physicians Group Surgical Associates – 770-536-5733

Or visit:

Click here to read a patient story.

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