Treatment of GERD

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Most people associate acid reflux with its most typical symptoms: heartburn and regurgitation. These indicators are usually attributed to gastroesophageal reflux disease (GERD), caused by the reflux, or backflow, of stomach fluids up into the lower esophagus. But reflux can extend beyond the lower esophagus, causing a series of symptoms not immediately associated with heartburn, varying from mild or moderate to severe. 

You may experience any of the following atypical symptoms:
  • Gas & Bloating
  • Soreness of Chest & Throat / Throat Clearing
  • Trouble Sleeping
  • Persistent Cough
These symptoms can indicate laryngopharyngeal reflux (LPR). Patients suffering from LPR may not experience heartburn, and therefore do not achieve sufficient relief with traditional reflux medications like proton pump inhibitors (PPIs), which only reduce the acid content of the stomach.

Treatment of GERD

Depending on the severity of GERD-related symptoms, treatment may involve lifestyle modifications, medical therapy or antireflux surgery.

Dietary and lifestyle changes may help mild GERD sufferers with infrequent symptoms find relief.

Over the counter and prescribed pharmaceuticals provide temporary relief, but do not treat the underlying anatomical problem or stop the disease from worsening. Proton pump inhibitors (PPIs), the most effective medical therapy for GERD, are generally approved for eight weeks of use. While safe and effective for most patients, studies evaluating long-term PPI use demonstrate a series of undesirable side effects.

Conventional antireflux surgery has been long considered an effective solution to treating GERD, but typically includes side effects such as difficulty swallowing, bloating and increased flatulence.

Transoral Incisionless Fundoplication (TIF®) is a procedure that treats LPR and GERD at its source. This incisionless approach rebuilds the antireflux valve to restore the body’s natural protection against acid reflux. By accessing the gastroesophageal junction through the mouth, there are no scars, minimizing complications and possibly leading to a quicker recovery.

Benefits of the TIF Procedure
  • No external skin incisions – no scarring.
  • No internal cutting or dissecting of the natural anatomy – more rapid recovery.
  • Very safe. Fewer adverse events and complications than other antireflux surgical procedures.
  • Does not limit future treatment options.
In a 2016 study, 90% of patients experienced a reduction of their symptoms below the LPR threshold. More than 88% of patients experienced elimination of all daily troublesome atypical symptoms. And 71% of patients were able to completely stop taking their PPIs after the TIF procedure. Learn more about the TIF Procedure at