TIF (transoral incisionless fundoplication) is usually an outpatient procedure and is easily reversible if necessary. It generally doesn't worsen swallowing or lead to the inability to burp or vomit like nissen fundoplication can. If it isn't successful or doesn't last, it can be undone and followed by nissen or other fundoplication.
PPI's weren't fully effective for me, so I now take Takecab (vonoprazan), which is in a different drug class and it actually works. It is a Japanese drug. I also take Gaviscon Advance just before bed as an extra precaution. This is a higher strength formula available OTC in the UK.
Post Edited (Mike Z) : 2/17/2020 4:00:37 PM (GMT-7)