✦ ENDOSCOPIC ANTI-REFLUX PROCEDURE

TIF (Transoral Incisionless Fundoplication)

Q: Is TIF as effective as laparoscopic fundoplication?

TIF works well for mild to moderate GERD, but for severe GERD or large hiatus hernia, laparoscopic fundoplication remains the most reliable option. Patient selection is crucial for good outcomes.

Q: Will I be able to stop my acid medications?

Many patients can reduce or stop acid medications after TIF. Some need to continue lower doses long-term. The aim is significant improvement in quality of life and reduced medication burden.

Q: What is recovery like?

Most patients are discharged the same day. A liquid and soft diet is followed for about a week before returning to normal foods. Office work resumes within 2–3 days.

Q: Is TIF suitable for me?

TIF is best for selected patients with mild to moderate GERD without large hiatus hernia. Detailed evaluation including endoscopy and pH studies helps decide. Dr. Tejasree discusses all options openly with you.

Modern endoscopic anti-reflux procedure performed entirely through the mouth — no abdominal incisions, no scars, with quick recovery for select patients with mild to moderate GERD.

60–90 min PROCEDURE

Day Care HOSPITAL STAY

>75% SYMPTOM RELIEF

2–3 Days RETURN TO WORK

What is TIF (Transoral Incisionless Fundoplication)?

TIF (Transoral Incisionless Fundoplication) is a modern endoscopic technique to treat acid reflux without any abdominal incisions. A specialised endoscopic device is passed through the mouth, and the natural anti-reflux barrier between the oesophagus and stomach is reconstructed using internal fasteners. TIF is suitable for selected patients with mild to moderate GERD who have not responded fully to medication or wish to avoid lifelong drug therapy, and who do not have a large hiatus hernia. Dr. Tejasree Vengala coordinates TIF at Lux Hospitals, Hyderabad, in collaboration with specialist endoscopy teams.

Suitable for select patients with mild to moderate GERD without large hiatus hernia, those wanting to avoid lifelong medication, those not suitable for laparoscopic fundoplication, or as a step before considering full surgery.

How the Procedure Works

Sedation & Preparation

The procedure is performed under sedation or short anaesthesia. The patient lies in a comfortable position, and a mouthguard is placed.

Endoscope Insertion

A specialised endoscope with the TIF device is gently passed through the mouth into the stomach.

Valve Reconstruction

The device folds tissue to reconstruct the natural anti-reflux valve at the gastro-oesophageal junction.

Fastener Placement

Multiple internal fasteners are deployed to hold the reconstructed valve in place — no external incisions are needed.

Recovery & Discharge

The procedure typically takes 60–90 minutes. Most patients are discharged the same day with a graded diet plan.

Outcomes

60–90 minDURATION

Day CareHOSPITAL STAY

>75%SYMPTOM RELIEF

1 WeekFULL RECOVERY

Who Needs This Treatment?

→No abdominal incisions — performed entirely through the mouth
→No external scars
→Day-care procedure with quick discharge
→Faster recovery than laparoscopic fundoplication
→Useful step between medication and surgery
→Reduces the need for daily acid suppression

TIF is a wonderful option for the right patient — someone with troublesome reflux, who has tried medication, but is not yet ready for laparoscopic surgery. No external scars, day-care recovery, and meaningful symptom control: it bridges a real gap.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is TIF as effective as laparoscopic fundoplication?+

Will I be able to stop my acid medications?+

What is recovery like?+

Is TIF suitable for me?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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