TIF Procedure in Dubai
Transoral Incisionless Fundoplication (TIF) is a minimally invasive surgical procedure performed under general anesthesia to reconstruct the valve at the top of the stomach to prevent acid reflux, also known as heartburn, and other symptoms associated with chronic gastroesophageal reflux disease (GERD).
GERD is a digestive disorder that occurs when gastric acid from an individual’s stomach runs back up into the food pipe or esophagus. The most typical GERD symptom is heartburn.
Fundoplication is a medical term used to describe folding the stomach around the esophagus to construct a valve created at the intersection of the stomach and the esophagus.
Ideal Candidate For TIF Procedure
To ascertain a patient’s eligibility, a thorough evaluation is required. The patients who are best suited for this procedure are those who:
- Have GERD
- Ideally do not have Hiatal hernias, but may be considered if they are 2cm or less
- Body mass index (BMI) of less than 35
- Have not had prior gastric surgery
It is highly recommended that before considering a TIF procedure, the patient should undergo a thorough evaluation that includes:
- GI endoscopy
- Esophageal motility testing and PH probe studies: The procedure involves inserting a catheter through the mouth or nose into the esophagus and recording the pressure generated inside the esophagus during swallowing.
- Barium swallow: This is an X-ray test where the patient is required to drink a liquid containing barium solution that is easily visualized during an X-ray.
Preparation for TIF Procedure
- You should not eat or drink for 12 hours prior to the procedure. This is to make sure there are no traces of food in your esophagus.
- Inform your doctor ahead of time if you have allergies.
- Follow your doctor’s advice regarding if, when, and how to take your prescription medication and nutritional supplements.
How TIF Procedure Works
During the procedure, the gastroenterologist will:
- Administer anesthesia to make you sleep throughout the procedure.
- Place a specialized tissue molding TIF device through your mouth into your esophagus.
- Through the TIF device, insert a high-definition endoscope into your mouth, and your doctor views the images on a screen.
- Insert the TIF device with the endoscope pointing toward the top of the stomach to allow the doctor to observe the junction of the esophagus and stomach.
- Apply suction and reposition the portion of the stomach that is protruding through the diaphragm to help correct the Hiatal hernia, if you have one.
- Grasp the end of your esophagus using the TIF device, bring it down and wrap the tissue in the top portion of the stomach about three-quarters of the way around the end of the esophagus.
- Fasten the folded tissue using fasteners that remain inside the body.
- Through the newly formed valve and out of the mouth, remove the TIF device and the endoscope.
Recovery After TIF Procedure
After surgery, patients must follow a liquid diet for a week before switching to a soft diet. During this time, strenuous activities might be restricted. The majority of patients visit their surgeon for a follow-up consultation two weeks after surgery to assess how well they are recovering.