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

Inflammation Related To GERD May Contribute To Esophageal Cancer Risk
Inflammation might be an important factor in the progression from reflux to esophageal cancer, according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association...

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...

Sleep Disturbance Reduced By Esophageal Reflux Disease Proton Pump Inhibitor Therapy
The use of proton pump inhibitors improves the sleep and daytime quality of life for sufferers of gastroesophageal reflux disease, according to a systematic literature review in the April 2012 issue of Otolaryngology-Head and Neck Surgery. A 2003 Gallup survey linked gastresophageal heartburn with frequent sleep disturbances...

Employing Bronchoscopy To Guide Effective Treatment For Refractory Asthma
Using a bronchoscope to visually examine the airways and collect fluid and tissue can help guide effective therapy for difficult-to-treat asthma patients, according to researchers at National Jewish Health...

Esophageal Cancer May Be Caused By Migration Of Cancer-Causing Stomach Cells
A new study is providing clues that may answer a decades-old question about the cells that give rise to a particularly lethal form of esophageal cancer...

'Tis The Season For Turkey, Gravy, Pie And Acid Reflux
Jack Selby, of Lansing, Mich., had suffered from heartburn all of his life, especially around the holidays when he overindulged in some of his favorite food and drink...

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...

Physicians Show Bias When Diagnosing Stomach Problems According To Study
Patients who complain of upper gastrointestinal (GI) symptoms often face a diagnosis of either gastroesophageal reflux disease (GERD) or functional dyspepsia. Because the two conditions often overlap, it can be difficult to distinguish between them and diagnose them properly...

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...

Airway Function Improves Following Anti-Reflux Surgery Both Before And After Lung Transplant
Surgery to correct gastroesophageal reflux disease, or GERD, can preserve lung function in patients with end-stage pulmonary disease both before and after transplantation, according to a new study from the University of Pittsburgh School of Medicine...

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)...

Researchers Use Neutrons To Spy On The Elusive Hydronium Ion - Could Aid In Treatment Of Peptic Ulcers Or Acid Reflux Disease
A Los Alamos National Laboratory research team has harnessed neutrons to view for the first time the critical role that an elusive molecule plays in certain biological reactions. The effort could aid in treatment of peptic ulcers or acid reflux disease, or allow for more efficient conversion of woody waste into transportation fuels...

New Study Helps Clarify Symptoms And Characteristics Of Acid Reflux In Neonates
Modifying stomach acid levels may not be enough to treat symptoms in neonates suspected of having gastroesophageal reflux disease. According to a study from Nationwide Children's Hospital, this is the first study to classify reflux and its associated symptoms in neonates based on how and what is refluxed...

Pitt Study: Esophageal Cancer Risk Higher In Medically Treated GERD Patients With Fewest Symptoms
Medically treated patients with mild or no symptoms of gastroesophageal reflux disease (GERD) are at higher risk for developing esophageal cancer than those with severe GERD symptoms, according to a University of Pittsburgh study published in the current issue of Archives of Surgery...

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...

First Patient Enrolled And Treated In The U.S. For EndoGastric Solutions' Randomized Study Of Transoral Incisionless Fundoplication (TIF)
EndoGastric Solutions (EGS), the leader in the emerging field of Natural Orifice Surgery (NOS), today announced that the first patient has been enrolled and treated in the RESPECT study (Randomized EsophyX vs. Sham/Placebo Controlled Trial). The RESPECT trial was designed by co-principle investigators Dr. John Hunter, Chairman of Surgery, Oregon Health & Science University, and Dr...

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...

Chronic Gastroesophageal Reflux Disease - Medication And Surgery Equally Effective
Laparoscopic antireflux surgery or taking proton pump inhibitor esomeprazole for chronic GERD (chronic gastroesophageal reflux disease) were both found to result in similar rates of disease remission of five years, researchers from Nantes University, France, reported in JAMA (Journal of the American Medical Association)...

Modern Treatments For GERD Effective At Achieving Long-Term Remission For Most Patients
In an evaluation of contemporary antireflux therapies for chronic gastroesophageal reflux disease (GERD), most patients who received treatment with either the proton pump inhibitor esomeprazole or laparoscopic antireflux surgery achieved and remained in disease remission for 5 years, according to a study in the May 18 issue of JAMA...

Advanced Technique For Treating Esophageal Lesions Deemed Safe And Effective In European Endoscopy Journal
An increasingly popular technique for removing lesions associated with Barrett's esophagus has been deemed a safe and effective treatment option in a study of more than 1,000 resections published this month in the European journal Endoscopy...

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...