Man at doctor's office for pelvic floor issues

The Mickle Center Offers Alternatives to Surgery That Can Provide Permanent Relief of Gerd Symptoms

While surgical fundoplication is the best way to cure GERD for most patients, for a variety of reasons some people are unable to have an operation. Mickle Center expert surgeons, Dr. Alexander Rosemurgy and Dr. Sharona Ross, are often able to offer these patients other treatments for GERD that do not involve surgery. These treatments use endoscopy, where a scope with a light and other instruments is inserted through the mouth. The scope is directed down to the lower esophageal sphincter, where the esophagus meets the stomach, to correct the anatomical changes that cause GERD.

These endoscopic treatments are also called transoral approaches because the procedures are performed through the mouth. While patients are under general anesthesia, no cuts are made to tissues during these procedures.

Endoscopic Treatments for Gerd Offered at DHI Include:

Transoral Incisionless Fundoplication (TIF)

Transoral incisionless fundoplication is an endoscopic treatment performed through the mouth. The endoscope allows the surgeon to place an EsophyX device where the esophagus meets the stomach. EsophyX creates a 270 degree wrap similar to a surgical Toupet fundoplication. This wrap strengthens the closure between the esophagus and the stomach so that reflux no longer occurs.

TIF is an outpatient procedure, and patients need little-to-no recovery time afterwards. While TIF is not right for every patient, it can greatly benefit some. It is associated with high success rates, and some studies have shown it has results similar to those of surgical fundoplication procedures. The large majority of patients who have a TIF procedure find enough relief from GERD symptoms to be able to stop taking proton pump inhibitors (PPIs).

To view actual footage of this surgical procedure, please visit the PROCEDURE VIDEOS & ADDITIONAL RESOURCES page in the for medical professionals section of the site.

Stretta Procedure

Another endoscopic approach to treat GERD is the Stretta procedure. It involves a thin tube called a catheter inserted through the mouth and down to the lower esophageal sphincter (LES). The catheter delivers low radiofrequency energy that heats the tissues of the LES and the part of the stomach joined to the LES. The physician can use this heat to reshape these parts of the anatomy. The result is that the LES works better at keeping acid contents out of the esophagus.

Many patients experience a decrease in GERD symptoms after having a Stretta procedure. The procedure typically provides relief for at least five years, and many patients are able to stop taking PPIs. It is an effective option, especially for those who have previously undergone a sleeve gastrectomy weight-loss procedure.

To view actual footage of this surgical procedure, please visit the PROCEDURE VIDEOS & ADDITIONAL RESOURCES page in the for medical professionals section of the site.

Are you in need of treatment for an esophageal condition and want to find out if minimally invasive surgery could help you? Call the Digestive Health Institute at Call813-615-7557 for an appointment.

A person's hands holding equipment
Faster Recoveries. Better Outcomes.

Minimally Invasive and Robotic Surgery

All the surgeons at the Digestive Health Institute (DHI) at AdventHealth Tampa have a large depth of experience in offering minimally invasive surgery. 

Meet The Experts

6 items. To interact with these items, press Control-Option-Shift-Right Arrow. These items are in a slider. To advance slider forward, press Shift-Command-Right Arrow. To advance slider backward, press Shift-Command-Left Arrow.

Alexander Rosemurgy

MD, FACS

Advanced Foregut & HPB Surgeon

Sharona Ross

MD, FACS

Advanced Foregut & HPB Surgeon

Sandra G. Freeman

ARNP-C

Nurse Practitioner

Dana Manzi

MSN, ARNP-BC

Nurse Practitioner

Cory O'Brien

MA, CCC-SLP, BCS-S

Speech Pathologist

Betsy Prator

MSN, ARNP-BC

Nurse Practitioner

Dr. Cory O'Brien checking patient's throat at AdventHealth Digestive Health Institute Tampa.

Surgical Consultations For Digestive Cancer Without The Wait

Appointments Within 5 Days for Patients with Cancer

At AdventHealth Digestive Institute Tampa, we know that after being diagnosed with cancer, patients want and often need to begin treatment quickly. So we make it a priority to offer appointments for cancer surgery consultations within 5 business days, and often earlier. 

Patients who are newly diagnosed with cancer, or have just found out they have cancer recurrence, qualify for this priority access. Our surgeons will make themselves available to see you right away, even for a second opinion. We want to help you start your treatment as soon as possible.

If you have been diagnosed with a cancer of the digestive system, don’t wait. 
Call the Digestive Health Institute at Call813-615-7557.

DHI News and Info

3 items. To interact with these items, press Control-Option-Shift-Right Arrow. These items are in a slider. To advance slider forward, press Shift-Command-Right Arrow. To advance slider backward, press Shift-Command-Left Arrow.
Blog

At SSO 2021, Digestive Institute Surgeon Shows That Robotic Surgery for Complex Liver and Bile Duct Tumors Is Possible

On March 18, Iswanto Sucandy, MD, FACS, advanced HPB (liver, pancreas and bile duct) surgeon at AdventHealth Digestive Institute Tampa (DI), gave two presentations at the Society of Surgical Oncology’s (SSO) International Conference on Surgical Conference Care. Because of the ongoing COVID-19...

Blog

Digestive Institute’s Dr. Iswanto Sucandy Instructs International Audience of Surgeons About Robotic Liver Surgery

In March, Iswanto Sucandy, MD, FACS, advanced HPB (liver, pancreas and bile duct) surgeon at the AdventHealth Digestive Institute Tampa (DI), discussed robotic liver surgery at the 54th Annual Congress of the Korean Association of HPB Surgeons. Also known as “HPB Surgery Week 2021,” the conference...

Blog

Digestive Institute Shares Its Expertise in Robotic Liver and Bile Duct Cancer Surgery for American College of Surgeons Educational Webinar

Recently, Iswanto Sucandy, MD, FACS, advanced HPB (liver, pancreas and bile duct) surgeon, shared two DI video presentations as part of a live educational webinar put on by the American College of Surgeons (ACS). The ACS is the largest professional group for surgeons in the world. It has more than...