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Transoral incisionless fundoplication (TIF)

Also known as: Trans-oral incisionless fundoplication (TIF), antireflux surgery, small hiatus hernia surgery.

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.

Easy access

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Fast referral

Get seen and treated within 14 days

What is it for?

Procedure to treat GORD and hiatus hernias

Transoral incisionless fundoplication (TIF) consultation at The London Clinic

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.

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.

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.

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.

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.

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We offer Fixed Price Packages

Where possible, we’ll provide a fixed-price package for your hospital care. This covers your hospital stay, nursing, and use of our facilities, giving you a clear guide to what those costs will be.
  • Pre-op assessment
  • Hospital stay, nursing care and meals
  • Tests, scans and physio during your stay
  • Take-home medication (up to 5 days)
  • Post-op follow-up appointments
  • Standard equipment or prosthesis (if needed)
  • Unplanned extended stay or ITU (if clinically required)
  • Initial consultation and any tests done during it
  • Consultant and anaesthetist fees (quoted separately)
  • Physio or therapy before or after your stay
  • Diagnostics before admission (unless agreed in your plan)
  • Specialist medication beyond 5 days
  • Ambulance transport or bespoke prosthetics

Your consultant’s fees are quoted separately and shared directly by their office after your consultation. These professional fees cover the time, expertise, and care provided by your consultant before, during, and after your treatment. See our full terms and conditions

Why choose The London Clinic?

Why choose The London Clinic?

Trusted for over 90 years, The London Clinic is an independent charitable hospital that reinvests into care, research, and support for those who can’t easily access private treatment.

The UK’s largest independent hospital

More patients choose The London Clinic than any other.

Top-rated by real patients

4.86/5 from over 1,600 reviews on Doctify and over 4.5 on Google.

Full intensive care on-site

World-class 13-bed ICU for expert support if your care becomes complex.

Investing in clinical excellence

Backed by Northwestern, we equip our teams with cutting-edge medical equipment.

0% Finance Options

We’ve teamed up with Chrysalis to offer you funding options that allow you to spread the cost of your treatment.

If you choose to pay for your treatment at The London Clinic over 12 months, you can make use of a great 0% interest option and pay nothing extra. Or you can choose to pay over two to five years at 14.9% APR.

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Trustees of the London Clinic Ltd trading as The London Clinic is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. The London Clinic is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated. Cancer treatments or transplants aren’t covered by finance packages. Finance options are only available for UK patients.