Dr. Domingo E. Galliano Jr.,
MD, FACS, FASCRS
Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties. He has performed over 1600 DaVinci Robotic procedures!
General Surgery
Board Certified by
the American Board of Surgery
Colon and Rectal Surgery
Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)
Surgical Critical Care
Board Certified by The American Board of Surgery
HOSPITALS
Murdock Surgical Center
Fawcett Memorial Hospital
Bayfront Health
Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.
Why is it important you choose a Board Certified Surgeon?
A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.
Read more about Board Certified Surgeons
TIF / Esophyx
(Transoral Incisionless Fundoplication)
An effective, long-term incisionless solution for people suffering from chronic acid reflux, or GERD (gastroesophageal reflux disease), who are:
- Experiencing heartburn or non-heartburn symptoms of GERD twice a week
- Dissatisfied with pharmaceutical therapies
- Concerned about long-term effectsof a lifetime of taking pills
What is TIF / Esophyx? 
A huge advance in the evolution of the treatment of GERD, the revolutionary TIF (Transoral Incisionless Fundoplication) procedure corrects the root cause of GERD, an anatomic deficiency at the gastroesophageal junction. Performed with the innovative EsophyX surgical device, the procedure reconstructs a durable antireflux valve and tightens the LES (Lower Esophageal Sphincter), reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction. The result is the effective elimination of GERD.
Is TIF / Esophyx truly incisionless?
TIF is a completely incisionless procedure performed safely, quickly, and with minimal patient downtime. The procedure is called a Natural Orifice Surgery (NOS) procedure because the EsophyX device is introduced into the body through the mouth, rather than through an abdominal incision. The advantages of incisionless surgery over conventional laparoscopic or open GERD surgery include shorter hospital stay, reduced patient discomfort, shortened patient recovery, no visible scars, and typically higher patient satisfaction.
How is TIF / Esophyx performed?
Performed with the patient under general anesthesia, the EsophyX device is introduced into the body transorally (through the mouth) and advanced into the esophagus under visualization of a video camera inserted down the central shaft of the device. The EsophyX device is then used to form and fasten several tissue folds, or plications, to create a robust antireflux valve at the gastroesophageal junction, resulting in the effective elimination of GERD.
Most patients go home the next day and can return to work and most normal activities within a few days. In the weeks following surgery, a natural healing process fuses and cements the applications to create a durable antireflux barrier.
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| The specially designed EsophyX device enters the esophagus through the mouth and is positioned at the junction of the stomach and esophagus. | The device forms and fastens tissue folds to create a valve, recreating natural anatomy. |
| Watch the Esophyx video |
Same day appointments available. Call today!
CLINICS
Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders
Psych and Nutrition Center for IBS and IBD
IBS Irritable Bowel Syndrome Clinic
Ostomy, Ileostomy and Colostomy Clinic
Chronic Abdominal Pain Clinic
Heartburn Clinic (GERD)
Hernia Clinic
Hemorrhoid Clinic
Breast Cancer Clinic
Skin Cancer Clinic
Colorectal Clinic
GI GU Testing Center
Minimally Invasive Procedures
Experience less pain, minimal scarring, faster recovery, and better results.