The TIF procedure is less aggressive and patients enjoy an easier recovery, so it is easier for referring doctors—otolaryngologists—to make the leap and offer it as a treatment option for patients with atypical GERD symptoms, said Dr. Gillian. “Surgeons understand that atypical and typical GERD symptoms are usually caused by structural defects, and a proper durable repair can eliminate the symptoms when medical management is not working.”
Explore This IssueNovember 2012
The recommended surgeon should have experience in performing both the TIF and Nissen procedures, he added, so the patient has a full range of options to make an informed choice. For optimal results, “it’s very important that they go see somebody who is a regional expert in reflux surgery, so they can give the patient the option that is most likely to succeed based on their particular anatomy.”
Disclosures: Dr. Wilson is a consultant for EndoGastric Solutions and is currently participating in one of the company’s research trials. Dr. Trad is on the EndoGastric Solutions speakers’ bureau and receives honoraria from the company for lectures and consultancy work.