Surgery for GERD
There are a variety of treatments and medications suitable for dealing with GERD. Along with lifestyle changes and anti-acidic medications, a possible alternative to the more simple treatments for the symptoms of GERD is surgery. Surgery is mainly used as a last resort after all the available medications have been tried and have proven to be ineffective. In some cases, the amount of treatment necessary to help the patient, or indeed the diversity of the mixture may render medication as an infeasible option, and give rise to the need for surgery.
The surgery for acid reflux is also known as a fundoplication procedure. During the procedure, any visible hernia or hernial sac is removed and stitched back into place to alleviate the pressure on the diaphragm which can result in the symptoms of acid reflux. Next, the muscle is tightened where the diaphragm meets the oesophagus to minimise leakage of acid reflux and prevent the reflux from flowing easily, before an artificial lower oesophageal sphincter is created from within the stomach to dampen future reflux. The surgery can be conducted by way of a small incision in the upper abdomen, or through the use of a small camera and small surgical instruments, which avoids the need for any major incision or eventual scarring.
Surgery has proven to be a particularly effective method of treating the symptoms of GERD, and any complications which it give rise to, with around 85% of all patients undergoing the procedure reporting a substantial relieving impact on their painful symptoms for up to as many as ten years. However, many patients may still need medication for their symptoms after the GERD operation to relieve discomfort which has not properly been dealt with by the surgery, or has returned following the procedure for whatever reason. This is the case for as many as one half of all patients operated on, who are therefore presumed to have further complications of the condition. The main risk of complication caused by surgery arises from food becoming trapped within the new artificial muscle, although this usually subsides or is easily treated. Only in very rare cases is there a need for further surgery to correct the problem, or to dilate the new artificial sphincter to allow the food to pass, although this is relatively straightforward procedure.
As with all medical and surgical procedures, the acid reflux surgery is no different in that it carries potential risks and side effects. Before undergoing surgery, it is wise to consult with your doctor or your surgeon to discuss the risks and benefits of the procedure and the available alternatives. Only if all other treatments and medications have been exhausted, or it is deemed impractical for whatever reason to continue with a curse of medication for your complaint should surgery be a consideration. Discuss with your doctor or surgeon the procedure, and it is advisable that you ask any questions or air any concerns your have regarding the operation, its effects or possible risks at this consultation stage.
Acid reflux news on the Web
Precancerous Condition Associated With Reflux Disease Triggered By Bile - Not Acid For many people with gastroesophageal reflux disease or GERD, acid reflux drugs are the answer to their woes, curbing the chronic heartburn and regurgitation of food or sour liquid characteristic of the disorder. But when it comes to Barrett's esophagus, a condition commonly found in people with GERD, acid control may be less important than beating back another bodily fluid - bile... |
New GERD Device Offered At Mayo Clinic A new device to treat gastroesophageal reflux disease (GERD), a condition that can lead to serious health problems, will soon be available at the Mayo Clinic in Florida. The device will be offered to patients taking medication for the condition, who continue to have chronic reflux symptoms. The device was approved to treat GERD (also known as acid reflux disease) on March 22 by the U.S... |
Acid Reflux 50% More Common Than Ten Years Ago A long-term Norwegian study reveals the number of people who experience acid reflux at least once a week has gone up by nearly 50% in the last 10 years, with women appearing to be more susceptible to the condition than men... |
Prescribing Acid-Suppressing Drugs To Infants Frequent spitting up, irritability, and unexplained crying in infants can be very distressing to parents. Pediatricians often prescribe acid-suppressing drugs for these symptoms in an effort to treat infants for gastroesophageal reflux disease (GERD); however, GERD is an uncommon cause of these symptoms in otherwise thriving infants... |
Prescribing Of Acid-suppressing Medication For Infants Rises Considerably Infants who are frequently spitting up, irritable, and cry for unknown reasons can be extremely worrying for parents. The infants are often prescribed with acid-suppressing drugs by their pediatricians in an attempt to treat them for gastroesophageal reflux disease (GERD) but in otherwise thriving infants GERD is not a common cause of these symptoms... |
Acid-Suppressing Drugs Being Over Prescribed In Infants Frequent spitting up, irritability and unexplained crying in infants are often very distressing to parents. Physicians frequently prescribe acid-suppressing drugs for these symptoms. However, gastroesophageal reflux disease (GERD) is an uncommon cause of these symptoms in otherwise thriving infants, and in his Commentary published in the October 20th issue of The Journal of Pediatrics, Dr... |
GERD Treatments, Benefits And Risks - New Report New plain-language reports compare the risks and benefits of therapies for gastroesophageal reflux disease (GERD), a digestive condition that affects millions of individuals in the U.S., and can be treated with medications or surgery. The reports are from the U.S... |
Proton Pump Inhibitors Should Have Black-box Warnings, Group Tell FDA Withdrawal from PPIs (proton pump inhibitors) can lead to severe rebound acid secretion, a complication that can force users to become dependent on them - this should be mentioned in a black-box warning, consumer group Public Citizen has told the FDA (Food and Drug Administration)... |
Leftover Embryonic Cells Connect Gastric Reflux And Cancer The ultimate source of some cancers is embryonic cells. Research published in the June 24th Cell, a Cell Press publication, traces the precursor of deadly esophageal cancers to leftover embryonic cells found in all adults. Some people with gastric reflux disease have a greater risk of developing esophageal cancer... |
Homing In On Genetic Signature Of Esophageal Cancer University of Rochester Medical Center researchers have pinpointed two genes that are amplified in the worst cases of esophageal cancer, providing data to support a new investigational treatment that targets those same genes. The study, led by Tony Godfrey, Ph.D., a research associate professor of Surgery at the James P... |
News From The Annals Of Family Medicine, May/June Acid-Suppressing Proton Pump Inhibitors Associated with Fracture Risk A meta-analysis of previous research into an unintended effect of acid suppression medications - some of the most widely used medications in the world - finds evidence that long-term use of proton pump inhibitors, but not H2-receptor antagonists, is associated with increased risk of fracture... |
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