Our Summary

This research paper is about a study conducted on a medical procedure called the TIF (transoral incisionless fundoplication) 2.0, which is used to treat patients with a hiatal hernia less than 2 cm. Hiatal hernia is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm, often causing gastroesophageal reflux disease (GERD). Many patients with GERD require hiatal hernia repair.

The study looked at the safety and effectiveness of this procedure in treating patients with larger hiatal hernias, between 2 and 5 cm. Researchers collected data from 99 patients who underwent hiatal hernia repair followed by the TIF procedure.

The patients’ quality of life and symptom levels were measured before the procedure, and then again after 6 and 12 months.

The results showed significant improvement in patients’ symptoms and quality of life. For example, the scores measuring GERD symptoms improved by 17 points, indicating no bothersome symptoms after 12 months. Also, 90% of patients reported having effective symptom control and 74% of patients reported that they were not using any medication like proton pump inhibitors for GERD after 12 months.

The study concluded that the TIF procedure is effective and safe for patients with larger hiatal hernias and provides long-term relief from symptoms. It also reported no adverse effects or complications from the procedure.

FAQs

  1. What is the TIF 2.0 procedure and how does it help in treating hiatal hernia?
  2. What were the results of the study on the effectiveness of the TIF procedure on patients with larger hiatal hernias?
  3. Were there any adverse effects or complications reported from the TIF procedure in the study?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hiatal hernia repair using the TIF procedure is to follow post-operative instructions carefully, including dietary guidelines and restrictions on physical activity. It is important to give your body time to heal properly and to avoid any activities that could potentially disrupt the healing process. Additionally, it is important to attend all follow-up appointments with your healthcare provider to monitor your progress and address any concerns or questions you may have. By following these recommendations, you can optimize the success of your hiatal hernia repair and enjoy long-lasting relief from symptoms.

Suitable For

Therefore, patients who are typically recommended for hiatal hernia repair with the TIF procedure are those with larger hiatal hernias (between 2 and 5 cm) who are experiencing symptoms of GERD. These patients may have tried other treatments such as medications but have not found adequate relief. Additionally, patients who are looking for a minimally invasive alternative to traditional surgical options may also be good candidates for the TIF procedure. It is important for patients to consult with their healthcare provider to determine if they are a suitable candidate for this procedure.

Timeline

Before the hiatal hernia repair:

  • Patients experience symptoms of GERD such as heartburn, regurgitation, chest pain, and difficulty swallowing
  • Patients may undergo diagnostic tests such as endoscopy, pH monitoring, and barium swallow to confirm the presence of a hiatal hernia
  • Patients may be prescribed medications such as proton pump inhibitors to manage GERD symptoms

After the hiatal hernia repair:

  • Patients undergo the TIF 2.0 procedure to repair the hiatal hernia and improve the function of the lower esophageal sphincter
  • Patients may experience some discomfort and a liquid diet may be recommended for a few days post-procedure
  • Patients are monitored for improvement in symptoms and quality of life at 6 and 12 months post-procedure
  • Patients report significant improvement in GERD symptoms, reduction in medication use, and overall improvement in quality of life after the procedure.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the TIF 2.0 procedure for hiatal hernia repair?

  2. How long does the recovery process typically take after undergoing the TIF procedure?

  3. Will I need to make any lifestyle changes or follow a specific diet after the procedure to prevent recurrence of the hiatal hernia?

  4. Are there any alternative treatment options available for hiatal hernia repair, and how do they compare to the TIF procedure in terms of effectiveness and safety?

  5. How long can I expect the results of the TIF procedure to last in terms of symptom relief and improvement in quality of life?

  6. Will I need to undergo any follow-up appointments or tests after the procedure to monitor the success of the treatment?

  7. How experienced is the medical team in performing the TIF 2.0 procedure for hiatal hernia repair, and what is the success rate of the procedure in their practice?

  8. Are there any restrictions or limitations on physical activity or certain foods that I should be aware of after undergoing the TIF procedure?

  9. What can I do to minimize the risk of complications and ensure the best possible outcome following the hiatal hernia repair with the TIF procedure?

  10. Are there any specific signs or symptoms that I should watch for after the procedure that may indicate a complication or the need for medical attention?

Reference

Authors: Janu P, Shughoury AB, Venkat K, Hurwich D, Galouzis T, Siatras J, Streeter D, Korman K, Mavrelis G, Mavrelis P. Journal: Surg Innov. 2019 Dec;26(6):675-686. doi: 10.1177/1553350619869449. Epub 2019 Aug 20. PMID: 31431138