EsophyX™ System - GERD Treatment

Approximately 14 million Americans experience symptoms of GERD (gastroesophagealreflux disease), including heartburn and esophageal inflammation, on a daily basis. Most manage their acid reflux disease with over-the-counter or prescription medications; but, since pharmacological therapy does not treat the underlying root causes of acid reflux, the deteriorated anatomy of the antireflux barrier can require life-long medication therapy. Although acid reflux surgery is highly effective, it is also very invasive, despite the laparoscopic surgical approach. For this reason, less than 1% of patients choose acid reflux surgery to repair the anatomical defect(s) that cause GERD.

Mercy Medical Center is one of the first hospitals in the nation to offer a new, revolutionary non-invasive procedure that surgically treats chronic heartburn resulting from GERD. A team headed by Shawn Garber, MD, Chief of Bariatric Surgery at Mercy, with his colleague in the New York Bariatric Group, Spencer Holover, MD, uses a technique, known as EsophyX Transoral Incisionless Fundoplication (TIF), a form of Natural Orifice Surgery (NOS) in which a device for performing reconstructive gastrointestinal procedures is introduced into the body through the mouth, rather than through an abdominal incision.


EsophyX transoral incisionless surgery provides an important new option in the treatment of intractable acid reflux disease. Unlike conventional laparoscopic procedures for surgical remediation of GERD, the transoral technique that introduces the surgical instruments through the mouth reduces the risk of infection from incisions, preserves future treatment options, nearly eliminates pain for the patient, and requires less recovery time.

The procedure is based on the principles of surgical repair of the gastroesophageal junction and is intended to deliver similar benefits as the time-proven laparoscopic Fundoplication, which also is performed in select patients at Mercy Medical Center.

A similar trans-oral bariatric procedure, called StomaphyXTM, for reducing the size of a patient’s stomach for individuals who gain weight a few years after gastric bypass surgery, also is available at Mercy Medical Center.