Doctor insights on:
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 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.
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
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
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
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