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Explore Transoral Incisionless Fundoplication (TIF) as a minimally invasive treatment option for managing hiatus hernia and acid reflux
Prof. Dr. Ahmed Hassn explains that TIF is a minimally invasive procedure developed over the last two decades as an alternative to traditional laparoscopic anti-reflux surgery. This procedure uses a specialized device inserted through the mouth and into the esophagus to create a partial wrap of the stomach (fundus) around the lower esophageal lining, secured with plastic fasteners, aiming to reduce acid reflux symptoms.
While TIF avoids external incisions, Prof. Dr. Ahmed Hassn highlights that the device’s large size often requires esophageal dilation before use. Crucially, TIF does not involve repairing the diaphragm muscles—a vital step in anti-reflux surgery. Additionally, the procedure cannot achieve a full stomach wrap, limiting its effectiveness compared to laparoscopic surgery.
Based on clinical studies and patient feedback reviewed by Prof. Dr. Ahmed Hassn, TIF mainly shows a reduction in acid suppressant medication use rather than a true cure for reflux. Patients frequently report more pain following TIF due to the bulky device and plastic fasteners, with some experiencing difficulty swallowing and abdominal discomfort lasting several weeks.
With over 120 TIF procedures performed and many more cases reviewed and corrected after TIF failure, Prof. Dr. Ahmed Hassn concludes that TIF is generally ineffective in providing long-term control of acid reflux. He notes that he has yet to see a patient with effective reflux control two years after undergoing TIF, reinforcing laparoscopic anti-reflux surgery as the gold standard treatment.
Prof. Dr. Ahmed Hassn is a UK trained highly qualified Best Laparoscopic & Bariatric Surgeon with more than 21 years of consultant experience in his field.
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