Q&A: The new treatment for GERD

Q: What do you think of the TIF (transoral incisionless fundoplication) procedure for relieving persistent gastroesophageal reflux disease? I’ve been on a double dose of proton pump inhibitors and have made lifestyle/diet changes. My symptoms, including hoarseness, sore throat and a sour taste in the back of my throat, are not improving. I’m 56 and never had heartburn until two years ago. — Fred G., St. Louis

A: The TIF procedure is well-accepted, and positive study results continue to support it. As the name implies, the procedure is through the mouth (transoral) and no laparoscope or other tools are used that puncture the skin (incisionless). This reduces the risk of infection and shortens recovery time.