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Doctor insights on: Achalasia Cardia Surgery

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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Dr. Arthur Balin
84 doctors shared insights

Esophageal Achalasia (Definition)

This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment ...Read more


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Is gastric bypass surgery good?

Is gastric bypass surgery good?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more

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Can laparoscopic surgery cure heart disease?

Can laparoscopic surgery cure heart disease?

Not: Laparoscopic surgery is usually done in the abdomen, so the answer is no. ...Read more

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass surgery: Gastric bypass surgery, and all the surgeries for the overweight, essentially work by decreasing the number and or the amount of calories that you are able to absorb. Each of the several procedures work in slightly different ways. All of the surgeries have their unique complications, so ask your surgeon specific questions. ...Read more

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Which type of heart surgeon performs coronary bypass surgeries?

Which type of heart surgeon performs coronary bypass surgeries?

This defines them: Heart surgeon (cardiovascular surgeon) does coronary bypass surgeries as well as heart valve replacements. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read more

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Gastric bypass surgery with thyroid gland removed?

Gastric bypass surgery with thyroid gland removed?

Bypass: That's fine. As long as you are on synthroid (thyroxine) and your thyroid hormone levels are normal, having bypass surgery is safe. ...Read more

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Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Closed: While the chest is opened to get to the heart to do bypass surgery the heart is not opened. The arteries are on the surface of the heart and therefore approached directly. See picture. ...Read more

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Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Gastric prolapse: This is often asymptomatic and treatment depends upon symptoms and cause of prolapse. Weight loss often helps. It can cause acid reflux with pain, nausea, vomiting, dyspepsia, etc. You need to discuss this at length with your GI doctor. ...Read more

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To what extent does gastric bypass surgery cost?

Cost of bypass: That depends. Generally speaking, health insurance covers the cost of surgery. However, you may have a co-pay of 10, 20, even 50%. If you didn't have any insurance at all, it could cost you $30, 000 to have a gastric bypass done depending on where and by who. ...Read more

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Does 5th heart bypass surgery exist?

Yes: You can have a quintuple (5x) coronary-artery bypass. For example, you can use 5 bypass grafts utilizing one artery from each arm, one from each leg, and the left internal mammary artery. ...Read more

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How is heart bypass surgery performed?

How is heart bypass surgery performed?

Stepwise: In short, after anesthesia is induced, the chest is opened and in some cases, the heart and lungs are bypassed (some are not done this way). Then arteries or veins are used/harvested to bypass heart blockages and then the chest is then closed and anesthesia is reversed. It is a bit more complicated, but this is the best brief answer i can give. ...Read more

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How risky is gastric bypass surgery?

How risky is gastric bypass surgery?

Gastric bypass: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read more

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Does smoking affect gastric bypass surgery?

Does smoking affect gastric bypass surgery?

Snesthesia specific: Patient's who qualify for bariatric surgery are already at risk for sleep apnea and collapsed lungs. Why make things worse by triggering constriction of airways? I know of many bariatric surgeons who refuse surgery on smokers. Remember, post-surgical instructions are very strict so you have to demonstrate the ability to change unhealthy behaviors prior to surgery. ...Read more

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What is success of laparoscopic anti-reflux surgery for hiatal hernia?

What is success of laparoscopic anti-reflux surgery for hiatal hernia?

Varies: Don't be afraid to ask your surgeon. Most surgeons track their outcomes for at least a few years. If you go to a surgeon with good results and you do your part (eating right and keeping your weight in check) - you can expect durable relief with surgery. ...Read more

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How extensive is the gastric bypass surgery?

How extensive is the gastric bypass surgery?

Major surgery: Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. ...Read more

Dr. Mark Pack
65 doctors shared insights

Cardiospasm (Definition)

Cardiospasm = regurgitation or difficulty swallowing due to lack of relaxation of muscle fibers in ...Read more


Dr. Hiroshi Mashimo
84 doctors shared insights

Achalasia (Definition)

A rare disorder that makes it difficult for food and liquids to ...Read more