Gastroenterology Care

A Surgical Solution for GERD

If your medication isn’t giving you relief from chronic symptoms from GERD, a surgical solution might be for you.

What is GERD? 

GERD, is a digestive disorder that occurs when the small muscular opening at the end of your esophagus that leads to your stomach is not working properly and allows stomach acid to be released (acid reflux), causing symptoms such as:

  • Heartburn
  • Persistent sore throat
  • Hoarseness
  • Chest pain
  • Pain when swallowing
  • Nausea
Diagnosis - GERD

How is GERD treated?

GERD is typically treated through prescribed medications. If medication does not provide relief, surgeons also can perform a procedure where a top portion of the stomach is wrapped around the lower esophagus to make it difficult for acid to escape the stomach.

A new surgical solution for GERD

For patients who have not found relief using medications, Tanner offers a minimally invasive, outpatient surgical solution to GERD called the LINX Reflux Management System.

What is the LINX Reflux Management System?

LINX uses a band of magnetic titanium beads that are placed around the base of the esophagus near the stomach. The LINX system allows patients digest normally without experiencing the burning symptoms of GERD.
LINX - graphic

How does LINX work?

When you swallow, the force pushes the magnetic beads apart, opening and closing them around the esophagus. This allows food to enter the stomach and prevents acid from rising into the esophagus.

The TIF® procedure (Transoral Incisionless Fundoplication)

TIF-trained physicians are able to restore the natural shape, location and effectiveness of your esophageal valve with an innovative procedure, stopping reflux.

The vast majority of patients experience little discomfort post-procedure. After the healing period of four to six weeks, they are off daily PPIs and back to their healthy state once more.

Benefits

  • Minimally invasive
  • Fast recovery
  • No incisions
  • FDA cleared
  • No increased flatulence
  • Exemplary safety profile
  • No increased bloating
  • Covered by most insurance
  • No metal implant
  • Controls disruptive symptoms

What is the TIF® procedure for Reflux?

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

Abdominal incisions are not required unless additional treatments are being performed with the TIF procedure, such as a hiatal hernia repair (HHR). For patients presenting with both GERD and a hiatal hernia measuring >2cm, a laparoscopic or robotic hiatal hernia repair may be performed immediately prior to the endoscopic TIF procedure. The HHR plus TIF procedure can be performed in the same anesthesia setting if patient anatomy dictates repair of both a hernia and the anti-reflux valve.

TIF patients often experience a faster recovery since there is no internal cutting, and clinical studies demonstrate they rarely experience long-term side effects commonly associated with traditional anti-reflux surgery, such as trouble swallowing (dysphagia), gas bloat syndrome and increased flatulence.

To date, the TIF 2.0 procedure has been performed in more than 27,000 patients worldwide. Because of the unique approach of the TIF 2.0 procedure, most patients return to work and normal activities within a few days, allowing them to get back to life sooner, free of the distraction and discomfort of GERD.

While the TIF 2.0 procedure has an excellent safety profile and is less invasive than traditional laparoscopic fundoplication, it remains a surgical approach. There are potential risks and complications with any surgery, including those with an endoscopic approach, which can include but are not limited to sore throat, musculoskeletal pain, epigastric or abdominal pain and difficulty swallowing.

The TIF® Patient Journey

The path to a reflux-free life begins when you decide that managing your symptoms is not solving the problem. Typically, people first attempt to control symptoms with diet and lifestyle changes. When that no longer affects symptoms, your doctor will recommend PPIs.

Since you can’t cure reflux with either of those steps, people often choose to have their valve restored to its original effectiveness with the TIF procedure. Learn more on the TIP procedure at https://westgagastro.com/tif-procedure/.

 Heartburn? Indigestion? Is Surgery Right for You? - José Espinel, MD

The three main symptoms of gastroesophageal reflux disease (GERD) are heartburn, regurgitation and difficulty swallowing, according to José Espinel, MD, a board-certified general surgeon with Carrollton Surgical Group. GERD is treated with medication as a first step, followed by surgery. Two surgical options, one that recreates a valve using your stomach and the other that inserts a circle of magnetic beads called LINX, can both be performed using minimally invasive robotic surgery, resulting in less post-operative pain and a faster recovery than traditional surgery.

Woman making phone call

Request an appointment

If your GERD medication isn’t working for you, call 678-931-8156 to schedule a consultation or request an appointment. Appointments are available in Carrollton, Villa Rica and Bremen.

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