Heartburn and Acid Reflux

TIF Procedure for reflux

Patients suffering from chronic acid reflux or GERD (gastroesophageal reflux disease) now have a choice that restores a normal life.

Roderick Warren, MD now offers the TIF procedure for the treatment of GERD at Community Medical Center in Falls City, Nebraska.

Read below to find out more about the TIF procedure. Please contact Outpatient Specialty clinic at (402) 245 – 6522 if you, or someone you know, suffers with chronic GERD and would like more information about how the TIF procedure can get you back to living without the pills and without heartburn.

The TIF procedure can significantly improve quality of life for patients. Clinical studies show that at three years after the TIF procedure 70% of patients were able to completely stop PPI (proton pump inhibitors) therapy, reflux esophagitis healed in 87% of patients and 91% of patients reported elimination of troublesome regurgitation. With millions of Americans diagnosed with GERD and not fully satisfied with their treatment options, the TIF procedure offers an excellent alternative. For clinical information, visit www.GERDhelp.com.


The advantage of TIF (transoral incisionless fundoplication) is that it is ‘surgery from within’ performed through the mouth. Based on the same well proven principles of conventional, more invasive laparoscopic GERD surgery, the TIF procedure reconstructs the valve between the esophagus and the stomach to prevent reflux. Because the procedure is incisionless, there is reduced pain, no visible scar and most patients can get back to their normal activities within a few days.

In a healthy patient, there is a natural valve between the esophagus and the stomach that forms a physical barrier preventing stomach fluids from backwashing, or “refluxing,” up into the esophagus. In a patient with chronic GERD, this valve has become dysfunctional.  Many patients take reflux medications such as PPIs, which suppress acid production, to help relieve their heartburn symptoms. Even with PPIs, they are still unable to eat the foods they want or need to sleep sitting up to reduce nighttime reflux. In addition, recent studies have shown that long-term use of PPIs is linked to inadequate absorption of minerals1, chronic kidney disease2 and dementia3. GERD sufferers just want to get back to living normal lives. The TIF procedure may be the best choice.



1. http://www.fda.gov/drugs/drugsafety/informationbydrugclass/ucm213259.htm

2. Lazarus B, et. al., JAMA Intern Med. 2016 Feb 1;176(2):238-46.
3. Gomm W et. al., JAMA Neurol. 2016 Feb 15. doi: 10.1001/jamaneurol.2015.4791.