Transoral incisionless fundoplication (TIF)
At The London Clinic, we provide a private transoral incisionless fundoplication service to treat gastro-oesophageal reflux disease (GORD) and hiatus hernias. Right in the heart of Harley Street, you’ll be seen by one of our world renowned gastroenterologists who will guide you from pre-op, right through to recovery.
Quick facts
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Fast referral
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What is it for?
Procedure to treat GORD and hiatus hernias
Treatment overview
A transoral incisionless fundoplication (TIF) is a non-invasive procedure to repair a small hiatus hernia or prevent gastroesophageal reflux disease (GORD).
During the procedure your surgeon reconstructs your gastroesophageal valve so that acid from your stomach can no longer escape into your food pipe (oesophagus).
One of our world-leading gastroenterologists will carry out your procedure at our private state-of-the-art Endoscopy Unit near Harley Street.
By choosing The London Clinic, you’ll get a more compassionate and connected kind of care, from enhanced pre-admission through to aftercare and follow up.
Contact us today, so you can start your treatment journey and get back to the life you love.
Why choose The London Clinic
Excellence in one place
The London Clinic, in collaboration with Northwestern Medicine, operate as teams of experts with world-class resources, dedicated to maintaining the highest standards of care. Surrounded by the latest treatments and advice, you’ll have everything you need to get back to your best health. Our patient rooms are designed for your comfort, while our catering team, in collaboration with expert dietitians, provide healthy, delicious meals to support your recovery.
Personal care, every time
Exceptional patient care is a way of life for us. Our teams will be with you every step of the way, tailoring your care to your specific needs and giving you the peace-of-mind that comes with knowing you’re in the best hands. To provide exceptional care, we keep our staff-to-patient ratio low, so our nurses, clinicians, therapists, and support teams can offer a personalised, quality experience. You’ll notice the difference.
Effortlessly simple
We work together as one to guide you through every step of your patient experience. From explaining your personal treatment plan to ensuring all details are taken care of, we make the process stress-free, so you can focus on your health. Whether it’s your first consultation or follow-up care, our teams are here to provide seamless support and the peace of mind you deserve
What's included in your package?
Choosing The London Clinic means your treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
Your treatment package will include:
- Enhanced pre-admission assessment
- Your treatment with our complete care team at your fingertips
- Personalised aftercare and follow-up
We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recovery packages and extra touches for you to choose from during your stay with us. To help you manage the cost, we also offer a 0% finance option, allowing you to spread the payments for your treatment over 12 months with no added interest. Learn more about our finance options here.
How to pay
- You can use private medical insurance (PMI) to access this treatment. We work with all major PMI providers in the UK and many internationally
- You can pay for yourself (self-pay)
- If you’re paying for yourself, we have 0% finance options available with Chrysalis. Find out more here.
FAQs
A transoral incisionless fundoplication (TIF) is a same-day, non-surgical procedure. It normally takes around 40 minutes under a general anaesthetic.
Once asleep, your surgeon gently places a thin, camera-tipped flexible tube, called an endoscope, into your stomach via your mouth.
The endoscope attaches to a specially designed instrument called a TIF device.
The TIF device allows your surgeon to hold and carefully fold tissue from your oesophagus around the tissue from the top of your stomach.
This fold is then fastened together to form a new gastroesophageal valve, which stops gastric acid from escaping into your oesophagus.
Once complete, your surgeon carefully removes the endoscope and TIF device from inside your stomach.
Because the procedure is incisionless, there are no cuts made to your skin or tissues, so there’s no need to apply any stitches or dressing.
After the procedure, your care team will take you to the recovery suite, so they can safely monitor you until you come round from the anaesthetic.
A transoral incisionless fundoplication is an advanced procedure, with an excellent safety record.
It has several advantages over laparoscopic surgery (Nissen fundoplication) including:
- Available to a wide range of patients
- Shorter procedure time than some surgical options
- Non-surgical - no internal tissues are cut
- No scars
- Less pain post procedure
- A faster recovery than some surgeries
- You may be able to reduce or stop your anti-reflux medication
After the procedure you may find certain symptoms improve or disappear including:
- Heartburn (acid reflux)
- Burping
- Nausea
- Regurgitation
- Poor sleep
- Asthma like symptoms
- Chronic cough
- Hoarseness
A few weeks following the procedure you should be able to eat a normal diet and need less, or no anti-reflux medication.
Each patient is different and how long it takes to recover from your transoral incisionless fundoplication can vary.
For around the first six weeks you’ll need to follow a special diet, which your care team will talk to you about.
It’s best to try and avoid strenuous exercise in the first few weeks, or until your surgeon agrees it’s okay.
Most people find they can go back to work after a few days, depending on the type of work they do.
Because a transoral incisionless fundoplication is minimally invasive, with no surgical cutting, you should recover fairly quickly.
Apart from some minor soreness in your throat and chest area, you should feel fine a few days after the procedure.
While your new valve heals, you’ll need to be on a special diet for a few weeks, including liquid food, before you can enjoy a normal diet.
At The London Clinic, the gastroenterologists who offer transoral incisionless fundoplication are world leaders in their field.
During your same day procedure, your dedicated care team will look after you and make sure you have everything you need.
To make you feel more comfortable while you’re with us, we offer extra touches like a personalised food menu and concierge service. Once you’re ready to leave The London Clinic, we’ll give you advice to follow to make sure you recover safely at home.