TIF Procedure

...and what can Dr. Cummins do for me?

GASTROESOPHEGEAL REFLUX DISEASE  

is the abnormal regurgitation of the contents from the stomach to the esophagus, mouth and lungs. Dr. Cummins is a GERD Specialist, providing surgical correction when medication is no longer effective.

INITIAL EVALUATION

EGD

Upper GI endoscopy. The most important diagnostic test to evaluate for the presence of Hiatal Hernia and rule out other pathology.

PH TESTING

Forty-eight hour ambulatory esophageal pH testing to confirm the presence of abnormal acid in the esophagus.

ESOPHAGEAL MANOMETRY

Determines the force of muscle contraction in the esophagus.

BARIUM ESOPHAGRAM

An X-Ray test that is complimentary to endoscopy and gives important information about the anatomy and function of the esophagus.

SURGICAL TREATMENT

TIF

An intraluminal surgery performed through the mouth/inside the stomach to rebuild the gastroesophageal valve. Indicated for small hiatal hernia. Can be performed along with laparoscopic hiatal hernia repair.

LINX

Magnetic Sphincter Augmentation of the LES. A bracelet of magnetized metal beads placed around the distal esophagus with laparoscopic surgery, to augment a weak lower esophageal sphincter. Can be used along with hiatal hernia repair or bariatric surgery.

NISSEN FUNDOPLICATION

The traditional standard for anti-reflux surgery and remains a useful option for some patients.

LAPAROSCOPIC HIATAL HERNIA REPAIR

Fixing the Foundation. Most patients with GERD have some degree of herniation of the stomach into the chest; it’s essential that the stomach be restored to its normal position.

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REDO/REVISIONAL SURGERY

Occasionally a procedure doesn’t work the first time or needs further attention. GERD is a chronic and progressive condition and may require further treatment.

EGD/DILATION

Sometimes dilation of the GE junction is needed after GERD surgery.

GENERAL SURGERY

General Surgical care & procedures also available. Douglas G. Cummins MD PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.