SURGERY FOR REFLUX

What is Surgery For Reflux?

Acid reflux is one the common problem nowadays, it occurs when stomach acid flows backwards into the esophagus, causing heartburn and other symptoms. Chronic acid reflux is referred to as gastro esophageal reflux disease (GERD).

Mild to moderate reflux can be treated with diet and lifestyle changes. Medications like antacids, H2 blockers and proton pump inhibitors are used to treat GERD.

In some people, GERD can’t be treated by lifestyle changes or medications. Surgery is the only option for those people.

Surgery for this focuses on repairing the valve (lower esophageal sphincter) of the esophagus that usually helps keep acid from moving backwards from the stomach. A weak or damaged LES might be the leading cause of GERD.

If you have severe GERD surgery symptoms, it may be recommended as stomach acid can cause inflammation of the esophagus, leading to bleeding or ulcers making swallowing difficult.

Surgery for GERD is usually the last option. Several surgical options are found useful to relieve GERD and manage complications.

Fundoplication

This is the standard or primary surgical treatment for GERD. It helps in tightening and reinforcing the LES. The upper part of the stomach is covered around the outside of the lower esophagus to strengthen the sphincter.

Fundoplication is an open surgery; the surgeon makes a long incision in the stomach to reach the esophagus. The surgeon sometimes uses the laparoscopic techniques with miniaturized surgical instruments that involve several smaller incisions—miniaturized.

To prepare for this surgery, you have to take a clear liquid diet 1-2 days before the surgery. You are not allowed to eat anything on the surgery day, take the prescribed medicines to clean the bowel before the day of surgery. The longevity of the result from this procedure is often guaranteed.

TIF (Trans oral Incision less Fundoplication)

This procedure is substituted for open fundoplication when it is not appropriate. The surgeon will create a barrier between the stomach without any incision and the esophagus to prevent reflux of stomach acid.

EsophyX is a device inserted through the mouth, and it will create many folds at the esophagus base, the folds will turn into a new valve. It is the best option for GERD people who did want to have an invasive procedure.

Stretta Procedure

This procedure involves an endoscope, a thin and flexible tube that can be threaded into your esophagus. At the end of the endoscope, an electrode heats the esophageal tissue to create tiny cuts, forming scar tissue in the esophagus that will strengthen the surrounding tissue. The purpose of this is to blocks the nerves that respond to refluxed acid. 

This is a new procedure but is effective in relieving or eliminating the symptoms of GERD.

Bard EndoCinch System

This system also involves the use of an endoscope. Pleats are made from stitches in the LES to strengthen the LES. This is not a standard procedure as that of others. 

Linx Surgery

This is also a new procedure showing promising results. This uses a device, a Linx. It is a tiny magnetic titanium beads ring, the will wrapped around the LES to strengthen it.