Getting Started

If you suffer from GERD and acid reflux and want to explore the option of cTIF, the first step is to contact us and schedule a consultation. Our team can review your medical history and determine what additional testing may be necessary.

The Process

1. Initial Evaluation

Whether you are referred by another physician, find us online, or come through a friend’s recommendation, your journey begins with gathering information. We make this process convenient, often using a telemedicine visit with one of our physician assistants when appropriate.

2. Gastroenterology Testing

Gastroenterologist Dr. Jonathan Kandiah will perform testing to determine whether you are a candidate for cTIF. This typically involves:

  • Endoscopy to confirm hiatal hernia

  • Acid testing

  • Possibly esophageal pressure testing

3. Coordinated Surgical Planning

One of the most unique aspects of our cTIF program in Savannah is our true two-specialist model. Once both physicians agree you are a good candidate:

  • Your procedure date is scheduled (typically on a Thursday)

  • Preoperative instructions are provided

  • Our coordination team guides you through every step

  • Out-of-town patients receive streamlined scheduling to reduce travel visits

Our team communicates to ensure every detail is aligned before your procedure.

4. The cTIF Procedure

Step 1: The Surgeon – Repairs the hiatal hernia using robot-assisted techniques.
Step 2: The Gastroenterologist – Uses the TIF technique to rebuild the anti-reflux valve through the mouth.
Step 3: The Result – A fully restored barrier that prevents stomach acid from escaping into the esophagus. Most patients recover smoothly and go home the same day.

Our video provides an overview of how this groundbreaking procedure works.

STEP 1 of cTIF:
Hiatal Hernia Repair

The root cause of acid reflux for many patients is a change in their anatomy where the stomach pushes through the diaphragm into the esophagus. This is known as a hiatal hernia. Using minimally invasive robotic surgery techniques, the stomach is placed back in its normal position. Once the hiatal hernia is repaired, lasting relief from GERD often requires repair of the valve that separates the stomach and esophagus. This takes place in the second part of the cTIF procedure.

STEP 2 of cTIF:
Transoral Incisionless Fundoplication

The TIF procedure reconstructs the esophageal valve that keeps stomach acid from entering the esophagus. TIF restores the body’s natural protection against reflux without incisions and is performed directly after hiatal hernia repair, under the same general anesthesia. The result is relief from acid reflux, heartburn, and all the effects associated with GERD. Dr. Barnes and Dr. Kandiah utilize their individual areas of expertise to complete the cTIF procedure and give patients a new chance at life without acid reflux.

Confidence Through Communication

Patients often tell us what reduces their anxiety most is knowing:

Two specialists are directly communicating about their case

Multiple providers are involved in their care

There is a clear plan before, during, and after surgery

They are not navigating the process alone

Between our physicians, physician assistants, nurse practitioners, and coordinators, you have an entire team ensuring the best possible outcome.