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Doctor insights on: Reflux Surgery

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Dr. Charlene Sojico
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


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What is the definition or description of: anti-reflux surgery?

What is the definition or description of: anti-reflux surgery?

Reduces reflux: A surgical intervention to reduce gastroesophageal reflux (reflux of stomach juices into the esophagus - gerd). Gerd can lead to ulcers and possibly cancer of the esophagus. In cases of severe gerd surgery is the current standard, and is mostly performed as a laparoscopic "stomach wrap" (fundoplication). There are newer techniques that are performed endoscopically. ...Read more

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What is the definition or description of: acid reflux surgery?

What is the definition or description of: acid reflux surgery?

Fundoplication: 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 "wrap" (fundoplication) is performed. ...Read more

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What r d odds that 1 undergoes acid reflux surgery, but then still experience it after bec turns out the cause of symptoms was not really acid reflux?

What r d odds that 1 undergoes acid reflux surgery, but then still experience it after bec turns out the cause of symptoms was not really acid reflux?

Surgery sucess--Rt p: Current evidence suggests that laparoscopic fundoplication is more effective than medical therapy for the short- and medium-term treatment of gastroesophageal reflux' Before contemplating Reflux surgery, thorough investigation to confirm the dx of refractory reflux disease is critical . EGD and long hx of refractory reflux,Manometry & Bravo test has to be done before deciding surgery ...Read more

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Bile reflux surgery, can you tell me more?

Bile reflux surgery, can you tell me more?

In Roux-en-Y: ...surgeons make a new connection for bile drainage farther down in the small intestine, diverting bile away from the stomach. Anti-reflux surgery (fundoplication). The part of the stomach closest to the esophagus (fundus) is wrapped and then sewn around the lower esophageal sphincter. Ref. www.mayoclinic.org/diseases-conditions/bile-reflux/basics/treatment/con-20025548 ...Read more

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I was told I have to get open anti reflux surgery just wondering what to expect. Also how large will the scar be?

GI or bladder reflux: Gastro-esophageal reglux can ofet be repaired by a minimally invasive laparoscopic approach. Bladder reflux in a fifty-year old would likely be un-necessary. Could quite possibly be corrected by injection of duflux if patient is a child. Suggest you get a second opinion, which ever type of reflux is present. Good luck. ...Read more

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Bad gas post acid reflux surgery. Why?

Bad gas post acid reflux surgery. Why?

After Reflux Surgery: Bloating and discomfort from gas buildup and inability to burp are common problems after reflux surgery. I usually keep my patients on a liquid diet for a week after surgery and advance to soft foods as tolerated. This decreases the likelihood of these symptoms. Consult with your surgeon on a dietary regimen. Most often this resolves with time. If it persists, then you may need additional work up. ...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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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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Barium swallow prior to fundoplication (anti-reflux) surgery, why is this?

Barium swallow prior to fundoplication (anti-reflux) surgery, why is this?

More info: This test can give anatomical information the surgeon about the size and shape of a hiatal hernia if there is one. When done "properly", it can also give physiologic information about how well the esophagus can push solids and liquids into the stomach. This info can help determine if your are a good candidate for an anti-reflux procedure, be it endoscopic or laparoscopic. Hope this helps! ...Read more

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Can you tell me about laparoscopic anti-reflux surgery for heartburn/hiatal hernia?

Can you tell me about laparoscopic anti-reflux surgery for heartburn/hiatal hernia?

Yes: For hiatal hernia, the stomach is brought back into the abdomen and the defect of the crus muscles around the esophagus are brought together and possible mesh reinforcement. For just reflux without the hernia, the stomach is wrapped around itself called a fundoplication. Best part is the symptoms are gone almost immediately. ...Read more

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Can you tell me about laparoscopic anti reflux surgery for heartburn and or hiatal hernia?

Laparoscopy: In general terms, the operation uses 5 small incisions, takes 2-4 hours depending on a variety if factors, is associated with a 1-2 night stay in the hospital, and a 1-2 week recovery period regarding postop pain. There is usually difficulty swallowing for 3-6 weeks afterward as well. Preop tests will determine if its right for you, and there will be occasional reflux afterward, but markedly improved. ...Read more

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It looks like gastroenterologists specialize. How do I find one that might do hiatal hernia + acid reflux surgery?

They don't operate: Under medical specialties, there is training program in GI diseases. These clinicians are the gastro enterologists who treat and handle the diagnosis of GI disorders such as Crohns disease, Ulcerative colitis, bleeding ulcer disease and are the one who do upper and lower GI endoscopy. Surgery of the upper GI tract is performed by general surgeons who can handle reflux and hiatal disease. ...Read more

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Duodenal bile reflux causing chronic reactive gastropathy. Nausea, upper abd pain. Failed every med. Would removing gallbladder OR reflux surgery help?

Duodenal bile reflux causing chronic reactive gastropathy. Nausea, upper abd pain. Failed every med. Would removing gallbladder OR reflux surgery help?

Try non-surgical Rx: Even if you remove the gallbladder, you will still produce bile. So unlikely that removing the gallbladder would fix problem. First see the specialist & ask for recommendations. Also may want to try all non-surgical and non-pharmaceutical approaches such as no eating after dinner, always eat a light dinner, sleep with your head propped up a bit, try adding more fiber to your diet ...Read more

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Duodenal bile reflux & gastropathy on EGD. GI MD is not sure what to do next.Tried/failed all meds,bland diet, no NSAIDs.Can reflux surgery help this?

Duodenal bile reflux & gastropathy on EGD. GI MD is not sure what to do next.Tried/failed all meds,bland diet, no NSAIDs.Can reflux surgery help this?

Botox: is a last resort and must be performed by a skilled GI expert.. You did not specify what medications you were taking, nor did you mention blood or breath testing for H. pylori bacteria, a causative bacteria in peptic ulcer and gastritis. ...Read more

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Ways to prevent acid reflux in surgery?

Ways to prevent acid reflux in surgery?

Sometimes: If it is caused by some conditions then yes, maybe. See a gastroenterologist (gi specialist) to see what is causing your reflux and if surgery might help you. ...Read more

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How long is the recovery from acid reflux prevention surgery?

Depends on surgery.: The length of recovery depends on many factors, but the most important would be the type of antireflux surgery you have. Typically patients undergoing laparoscopic surgeries, such as a nissen or toupet, spend 1 night in the hospital and recovery is 1-2 weeks. The new transoral surgery, tif, is typical 1 week recovery. But remember that some people recover from surgery faster than others. ...Read more

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What is chance that nissen fundo by highly skilled surgeon will last forever? What is lifetime chance of redo? What % still have reflux post-surgery?

What is chance that nissen fundo by highly skilled surgeon will last forever? What is lifetime chance of redo? What % still have reflux post-surgery?

Unlikely: A skilled surgeon frequently report recurrence rate < 10% in 5 yrs. The number can easily double in 10 yrs. Keep in mind the true recurrence rate isn't usually known for any surgeon. I do redos on patients who refuse to return to their 1st surgeon - I am sure a few of my patients go to other docs too. ...Read more

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