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Doctor insights on: Non Invasive Acid Reflux Surgery

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Dr. Katharine Cox
2 doctors shared insights

Acid Reflux (Definition)

Technically called GERD, acid reflux is the presence of acidic stomach contents in the esophagus. The acid irritates the esophagus causing heartburn symptoms. The regurgitation or reflux can vary greatly as can the symptoms. Blocking stomach acid with medications can alleviate the burning but medication cannot stop the reflux. Complicated GERD requires surgical treatment ...Read more


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What are the best treatment options for silent reflux (Laryngopharyngeal Reflux) other than acid reducing drugs or surgery?

What are the best treatment options for silent reflux (Laryngopharyngeal Reflux) other than acid reducing drugs or surgery?

Depends: depends on the cause, for example, weight loss might help if one is more than 20% over their ideal body weight. Try to find the cause and you will have an idea for the best treatment. ...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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Names of non ppi medications for acid reflux?

Names of non ppi medications for acid reflux?

Acid reduction...: Non-ppi acid reducers include the h2-blocker class (tagamet=cimetidine; zantac=ranitidine; pepcid=famotidine) as well as antacids (like maalox, mylanta, tums, (calcium carbonate) etc.). Can we help you further? ...Read more

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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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Can there be a natural remedy for acid reflux disease, barretts esophagus and hiatal hernia?

Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read more

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Wouldnt fixing Achalasia by surgery result in acid reflux in esophogus?

Wouldnt fixing Achalasia by surgery result in acid reflux in esophogus?

Maybe (answer #5): See prior HealthTap answers on this subject. Fixing achalasia is often combined with an anti-reflux procedure to avoid just what you fear. ...Read more

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Can surgeons correct acid reflux?

Can surgeons correct acid reflux?

Sort of.: Most people with gerd can control their symptoms with dietary and lifestyle changes, supplemented with medication. For those whose lives are compromised by gerd despite these rx's, fundoplication surgery can help. However, the operation is not perfect: while many are happy, it does change the way the stomach processes food and can cause other side effects like bloating and increased gas. ...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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Pre nissen, bile reflux 20 mg aciphex 2 daily. Post Nissen, gurgle and reduced reflux at night. Go back on non-responsive ppis, or is there an alternative?

Pre nissen, bile reflux 20 mg aciphex 2 daily.

Post Nissen, gurgle and reduced reflux at night. Go back on non-responsive ppis, or is there an alternative?

Reflux post nissen: http://www.medscape.com/viewarticle/804147_4 Post Nissen there are several causes . Gas venting , motility, recurrent reflux ( though many who feel like reflux do not have pH evidence of reflux) , would elevate head of bed at night( pillow under mattress) avoid smoking , alcohol, caffeine reflux triggers, eat small meals, check gastrin,gallbladder, consider reglan, ranitidine f/u /w /doc ...Read more

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Best non surgical treatment for zenker diverticulum?

Best non surgical treatment for zenker diverticulum?

None: Really, the treatment for this congenital esophagus outpouching is surgical. There's no medication or lifestyle change which can make it go away. Good luck. ...Read more

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Can you recommend the Torax Linx device as a less invasive alternative to a Nissen Fundoplication for management of GERD?

Can you recommend the Torax Linx device as a less invasive alternative to a Nissen Fundoplication for management of GERD?

Good early reposrts: New device but seems promising. Early report from LAC-USC in Los Angeles, CA endorse its use so far ...Read more

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Are there minimally invasive or natural orifice procedures to treat gerd?

Are there minimally invasive or natural orifice procedures to treat gerd?

Yes, to both.: The surgical treatment of gerd involves wrapping the stomach around the esophagus, called a fundoplication. This has been performed laparoscopically for over 15 years. Recently, a new technique was introduced to create an internal wrap via natural orifice surgery; this is called transoral incisionless fundplication (tif). ...Read more

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Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Not always.: Although it is possible to detect these problems during outpatient endoscopy, imaging in the form of ct scans or pet scans may be required to detect some throat tumors. Often an exam under anesthesia is also required to biopsy and detect full extent of throat tumors. ...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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Gallbladder post 1year bravo test negative for acid reflux, but upper gi showed esphogitis reflux and some erosion, what is causing if no acid reflux ?

Gallbladder post 1year bravo test negative for acid reflux, but upper gi showed esphogitis reflux and some erosion, what is causing if no acid reflux ?

Non-acid reflux: Could be non-acid reflux. Also, no test is perfect, and the bravo study could be incorrect. Its also important to use the bravo data to correlate symptoms to acid reflux episodes. There is also a 24 hour pH-impedance study that can detect reflux that is not acid. Ask your GI doctor about these. Hope this helps! ...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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Small esophageal varices mild esophagitis at gej portal hypertension..If surgery cannot b done what is the treatment?

Small esophageal varices mild esophagitis at gej portal hypertension..If surgery cannot b done what is the treatment?

Portal hypertension: This is most commonly due to cirrhosis of the liver and must be dealt with by a hepatologist, gastroenterologist or general surgeon familiar with the area of practice. Knowing the etiology of this would also be helpful. The esohagitis at the gej may be due to reflux. ...Read more

Dr. Hirenkumar Italia
3 doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


Dr. Kevin Hiler
63 doctors shared insights

Acid Reflux Surgery (Definition)

The most commonly performed surgery for acid reflux is a fundoplication. This is performed laparoscopically in a variety of manners, but generally involves ensuring that any hiatal hernia is repaired, that the length of intra-abdominal esophagus is 5-8 cm and some form of stomach ...Read more