Transoral Incisionless Fundoplication (TIF) Incisionless, nonsurgical, endoscopic assisted methods for the treatment of reflux are now available. This procedure, referred to as EsophyX (or TIF) involves the use of devices that intensify and remodel the antireflux barrier at the level of the lower sphincter valve between the esophagus and stomach. The approach to this type of surgery is through the mouth and without any cutting or incisions in the abdominal wall. The EsophyX employs a suturing and fastening system to create pleats in order the improve the lower valve function. The team at Lenox Hill Hospital was the first center in the New York City metropolitan area to offer the EsophyX TIF (Transoral Incisionless Fundoplication). The EsophyX TIF procedure is also available at other hospital affiliations that include The Langone New York University Medical Center and Beth Israel Medical Center. Working in conjunction with the developers and manufacturers of the endoscopic reflux therapy devices, we have taken the lead in the diagnosis and management of gastroesophageal reflux disease. Learn more about EsophyX!  Stretta Stretta Therapy is an other minimally invasive treatment for gastroesophageal reflux disease (GERD), the condition that causes chronic heartburn and regurgitation. If you are taking prescription anti-reflux medications such as proton pump inhibitors [PPIs] (Prilosec, Prevacid, Nexium, etc...) or H2-receptor antagonist drugs (Tagamet, Zantac, Pepcid), and you are not achieving good control of your symptoms, you may benefit from additional therapies that may be available to you, such as Stretta Therapy. Stretta is a minimally invasive, outpatient procedure that takes approximately 60 minutes to perform. Patients usually receive conscious sedation (the same sedation used for your endoscopy procedure) and an instrument is passed through the mouth, so there are no visible cuts or scars that result from the procedure. Through a special tube, a special type of energy is delivered to the deep muscle layer of the lower esophageal sphincter that is responsible for preventing reflux. Through a remodeling process, the muscle becomes less floppy (compliant) thereby improving function. Learn more about Stretta