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Doctor insights on: Gerd Surgical Procedures

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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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Dr. David Earle
1,357 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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Can neonatologist perform surgical procedures?

Can neonatologist perform surgical procedures?

Yes, some: Depends on how you define surgical. They generally will place chest tubes, umbilical lines ( tubes for giving fluids/nutrition/medication), insertion of breathing tubes, PICC lines, etc. a Pediatric surgeon does more complex procedures in addition to those above. ...Read more

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What are surgical procedures for fat removal other than lipo and gastric bypass?

What are surgical procedures for fat removal other than lipo and gastric bypass?

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 more

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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

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 more

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Treatment for GERD after gastric sleeve surgery?

Treatment for GERD after gastric sleeve surgery?

Diet and: Medication management first. Sleeves can be converted to gastric bypasses with little or no natural stomach left and therefor is ofter curative for the gerd. Also a new procedure, the torax is approved. http://www.toraxmedical.com/linx/. ...Read more

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Is hiatal hernia surgery done as an out-patient surgery?

Is hiatal hernia surgery done as an out-patient surgery?

Sometimes: It depends on the extent of your surgery. Many of my patients who had simple small hiatal hernias repaired with concurrent antireflux procedure do go home the same day. ...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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Can cardiac bypass surgery be done laparoscopically?

Can cardiac bypass surgery be done laparoscopically?

Small incisions: Cardiac surgery can be done through very small incisions robotically and/or thorascopically. http://www.ucdmc.ucdavis.edu/surgery/specialties/cardio/robotic_surgery.html. ...Read more

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Are there successful, non-surgical techniques for gallstone removal?

Are there successful, non-surgical techniques for gallstone removal?

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 more

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Who is minimally invasive heart surgery performed on?

Who is minimally invasive heart surgery performed on?

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 more

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Does incisional hernia always require surgery?

No: But most do or they enlarge and cause other trouble. Risk - benefit is the calculation. Includes what surgery was original. Where is the incision? How large is the current defect? Contain bowel?Etc. ...Read more

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Aside from liposuction and gastric bypass surgery, what fat removal procedures are there?

Aside from liposuction and gastric bypass surgery, what fat removal procedures are there?

Resection: The classic operation for removal of fat is to cut it out. Most commonly in the abdomen- referred to as abdominoplasty. But it can be applied to any part of the body. This is not a recommendation for surgery. ...Read more

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Are gastric bypass surgeries paid for surgeries in the uk's nhs?

Yes: It depends on the diagnosis; if you are referring to weight loss operations, the nhs will pay for patients who have a bmi greater than 50. ...Read more

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What benefits does the spls procedure offer over standard laparoscopic procedures?

What benefits does the spls procedure offer over standard laparoscopic procedures?

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

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Are curretage medical procedures painful?

Are curretage medical procedures painful?

Yes, especially dila: Yes it is dilatation of the cervix that is painful. It is better to have some sedation. Can also be done with cervical local anesthetic block but i still vote for sedation. ...Read more

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Is the nuss procedure surgery for pectus excavatum painful?

Is the nuss procedure surgery for pectus excavatum painful?

Yes: All thoracic surgery is painful, but we have a lot of analgesic techniques and medications, and the painful period is transient. ...Read more

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Can you describe minimally invasive heart surgery ?

Can you describe minimally invasive heart surgery ?

When?: Most aortic and mitral valve procedures and some limited coronary bypass procedures. They are usually done with peripheral cannulation and small sternotomies, thoracotomies. ...Read more

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Treatment for prolonged fever(post operative bypass surgery)?

Treatment for prolonged fever(post operative bypass surgery)?

Toradol: If this is within two weeks, it could be postcardiotomy syndrome, which responds to Toradol or similar Non steroid anti inflammatories. If beyond a few weeks, might be a lingering infection. Please consult your surgeon. ...Read more

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Are there different surgical procedures for treating gerd, or does everyone have the same operation?

Are there different surgical procedures for treating gerd, or does everyone have the same operation?

Various: There are several types of fundoplication (nissen, thal, dor, toupe, etc.) and different ways to approach (transabdominal, transthoracic, minimally-invasive vs. Open, etc.). ...Read more

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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..

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 more

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I had fundoplaction surgery for gerd. Can I have a gastric sleeve procedure done for obesity?

I had fundoplaction surgery for gerd. Can I have a gastric sleeve procedure done for obesity?

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 more

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What is the surgery for gerd?

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 more

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Is it possible for surgery to fix gerd?

Is it possible for surgery to fix gerd?

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 more

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How effective is the GERD surgery in reducing symptoms?

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 more

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Will having surgery for my GERD cure my symptoms forever?

Perhaps: But a fundoplication may get loose or come apart and may require a repeat operation. ...Read more

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Are most people satisfied with the outcome of their GERD surgery?

Are most people satisfied with the outcome of their GERD surgery?

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 more

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I suffer from GERD and I am contemplating surgery. is this advisable?

I suffer from GERD  and I am contemplating surgery. is this advisable?

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

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It possible to have worse GERD after GERD surgery, this wrap is safe for long time use?

It possible to have worse GERD after GERD surgery, this wrap is safe for long time use?

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

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I have GERD and am thinking about having surgery ... What happens if I don't ? I have been told that it is pretty bad ..

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 more

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What is linx surgery for gerd?

What is linx surgery for gerd?

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 more

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How bad does my GERD need to get before surgery becomes a good idea?

How bad does my GERD need to get before surgery becomes a good idea?

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 more

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Is it common for GERD to get worse after a nissen surgery before it gets better?

Is it common for GERD to get worse after a nissen surgery before it gets better?

Not usually: Classic gerd symptoms like heartburn usually improve immediately. However with the swelling some symptoms are made worse like trouble swallowing. This usually improves in a few weeks. ...Read more

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Are there exercises or yoga positions which could help my GERD symptoms and let me avoid surgery?

Are there exercises or yoga positions which could help my GERD symptoms and let me avoid surgery?

No: But sleeping positions (on a wedge or with the head of the bed elevated) can help gerd and possibly avoid surgery ... ...Read more

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Dr. John Fung Dr. Fung
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Do people get GERD after gasteric sleeve surgery?

Dr. John Fung Dr. Fung
3 doctors agreed:
Do people get GERD after gasteric sleeve 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 more

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Is surgery ever warranted in the treatment of gerd?

Is surgery ever warranted in the treatment of gerd?

Yes: When meds no longer work or the symptoms increase to cause night cough. See a surgeon. ...Read more

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Does fundiplication surgery to fix GERD looses its effectiveness as time goes by. i.e. Reflux slowly cones back again.

Does fundiplication surgery to fix GERD looses its effectiveness as time goes by. i.e. Reflux slowly cones back again.

Fundoplication: Hello and welcome to HealthTap, Yes, the GERD can reoccur. It is recommended to try non-surgical options first. Thank you ...Read more

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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

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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.

Yes: It will cure gerd but for how long depends. Pros is not needing to take those pills anymore and suffering from debilitating reflux. Cons it is an operation and carries its risks. ...Read more

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Dr. Charles Cattano
1,521 doctors shared insights

Heartburn (Definition)

Burning pain or irritation in the upper stomach or lower chest. May be worse on lying down, and is ...Read more