Doctor insights on:
Gerd Surgical Procedures
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 moreSee 3 more doctor answers
Diet, exercise +: I assume you are looking for an easier way. There are many new technologies providing and promising fat removal that vary in their use of heat, fat melting injectables, radiofrequency, ultrasound, cold therapy, and more. It may not be applicable to all locations specifically organ fat. ...Read moreSee 1 more doctor answer
Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal 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. An incisionless option, tiff, is available 2. ...Read moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
Not really: Gallstones in the gallbladder under the liver cause nausea and pain. They can block the ducts or tubes that drain the liver or pancreas causing jaundice or pancreatitis if they pass from the gallbladder to these tubes. Some drugs have been used to dissolve small stones; but the treatment is long, and the stones return when the drug is stopped. Ercp can be used to remove stones in the bile ducts. ...Read moreSee 1 more doctor answer
Depends : Test would be done to determine if you’re a candidate for minimally invasive heart surgery. Some deciding factors may include medical history, age, type of heart disease and lifestyle. Generally, someone who has had heart surgery prior would not be a candidate. Some surgeries include ASD and PFO repairs, removal of tumors, valve, bypass and a-fib surgeries. ...Read moreSee 1 more doctor answer
Re: macular hole - are there any alternative surgical procedures vs. the usual gas bubble surgical repair?
Not sure: I would certainly talk to the ophthalmologist. They do many procedures with lasers these days. ...Read more
Small scars.: Unlike general laparoscopic procedures that require four _-inch or smaller incisions and can leave visible scars at all sites of entry, the spls procedure is accomplished through a single 2 CM incision through the belly button - resulting in the potential for no visible scar. Moreover, a single incision minimizes the wound pain that may accompany additional sites of entry. ...Read more
Are there different surgical procedures for treating gerd, or does everyone have the same operation?
I am going to have the tif procedure any advise before or after surgery?
I have been having a lot of burning and chest pain with the gerd..
Follow instructions.: Tif is an excellent anti reflux surgery. Make sure to follow the diet and don't overeat. It's very important to not vomit for the first six weeks after surgery. You should be pleased with your results and most of my patients end up losing 10 -15 pounds, which is an added bonus. ...Read moreSee 1 more doctor answer
Weight loss nissen: Very difficult question. Discussed currently at medical conferences. The pure answer is no, but there are two ways. The first way, the most correct way, would be to undo the wrap that was the previous antireflux procedure, after a review of the previous operative report and then do the sleeve. The second way, would be to make the sleeve a little wider and avoid the upper portion of the stomach. ...Read moreSee 1 more doctor answer
Fundoplication : Surgery for gerd involves wrapping the top part of your stomach around itself recreating the 'valve' at the top of your stomach to prevent reflux. It often is done with a hiatal hernia repair where you tighten the opening in your diaphragm that your esophagus comes through. Can be done laparoscopically, robotically, sometimes endoscopically. ...Read moreSee 2 more doctor answers
Yes: The most common operation to treat gerd is a laparoscopic fundoplication, where the top of the stomach is wrapped around the esophagus, effectively creating a new valve to limit reflux. This operation is not for the "casual refluxer", whose symptoms can be managed with meds and lifestyle changes since this operation will change the way you process food and has side effects that can be bothersome. ...Read moreSee 1 more doctor answer
Very effective: Surgery is very effective. But frequently your gerd symptoms of heartburn may get replaced by gas bloating symptoms. Please discuss those symptoms in detail with the surgeon before saying yes to surgery. Surgery is an excellent option if your heartburn symptoms are really frequent and bad. ...Read moreSee 1 more doctor answer
90% Satisfaction: Long-term studies demonstrate that the happiest people are those whose quality-of-life was most compromised by gerd prior to surgery. While this is an excellent operation, it is not for the "casual refluxer": it is best reserved for those who cannot control their symptoms despite dietary and lifestyle modifications, supplemented by meds. An excellent pre-op measure of this is a 24-hr pH study. ...Read moreSee 1 more doctor answer
Depends on severity:
Do you just have GERD. Are your symptoms controlled on Medication, dietary change and weight loss?
If so, then no, there is no need for surgery.
Rather have a full assessment to see if you actually require an operation. In this century, very few patients need or have indications for an operation. ...Read more
Yes and yes: There are various procedures for gerd, the most common being a nissen fundoplication, where part of the stomach (fundus) is wrapped fully around the lower esophagus. Long term it is usually fine, but could slip or become unwrapped. There could also be reflux through an intact wrap. There should have been a battery of tests before operation, and these can be repeated to see what's wrong if anything. ...Read more
I have GERD and am thinking about having surgery ... What happens if I don't ? I have been told that it is pretty bad ..
Varies: Acid reflux that goes untreated can lead to many different problems. Some of these are minor, such as heartburn or discomfort. Some are worse, like strictures or ulcers. Long standing reflux can lead to barrett's esophagus or even esophageal cancer. Medical treatments really only mask the symptoms and don't reduce the amount of reflux. They also have side effects like osteoporosis. ...Read moreSee 1 more doctor answer
New device: This is a new, surgically implanted device that consisted if a bracelet of small magnets that are wrapped around the valve between the esophagus and stomach. The magnets open when food goes through, and "close" when at rest. No long term results yet. Early results reasonable. Insurance plans may not pay for it. Hope this helps! ...Read moreSee 2 more doctor answers
Very bad.: I advise my patients that the surgical treatment for gerd is not for the "casual refluxer". The surgery changes the way that your stomach processes food and is really only a "band-aid" procedure, in that it does not correct the physiologic abnormality that causes reflux. However, if your quality of life is significantly affected by gerd and meds do not control your symptoms, it is a good option. ...Read moreSee 1 more doctor answer
Are there exercises or yoga positions which could help my GERD symptoms and let me avoid surgery?
It can happen: Laparoscopic sleeve gastrectomy has been reported to increase the risk of new onset gastroesophageal reflux disease (gerd) by altering the normal position of the sphincter at the gastroesophageal junction or in some cases, having the sleeve migrate into the chest. One survey found that 6.5% of the patients who had undergone lsg developed post-operative gerd. ...Read moreSee 1 more doctor answer
Does fundiplication surgery to fix GERD looses its effectiveness as time goes by. i.e. Reflux slowly cones back again.
What is best long-term, least side effect surgery for gerd? Will be fixing other problems, so will not be laproscopic
Nissen : A procedure that wraps the stomach around the esophagus is used to treat gerd. This creates a new pressure barrier so that acid can not enter the esophagus. This is the best method surgically to fix gerd for a long term fix. There are some surgeons or gastroenterologist that can do this during endoscopy but the long term success if unproven. ...Read more
Wat are the pros and cons on surgery for acid reflux. Does it cure GERD or its a temporary fix and how invasive is the surgery.
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