GERD Surgery

Overview

Gastroesophageal reflux disease (GERD) is a common digestive disorder that affects millions of people worldwide. Characterized by chronic acid reflux, GERD can significantly impact the quality of life, causing symptoms like heartburn, regurgitation, and chest pain. While lifestyle changes and medications can manage GERD symptoms for many, surgery becomes a viable option for those who do not find relief through conservative treatments. This blog delves into the world of GERD surgery, providing a comprehensive guide to understanding the procedure, its benefits, and what to expect.

What is GERD Surgery?

GERD surgery, also known as anti-reflux surgery, aims to reinforce the barrier between the stomach and esophagus, preventing acid from backing up into the esophagus. The most common type of GERD surgery is called fundoplication, with Nissen fundoplication being the most widely performed variation. During this procedure, the upper part of the stomach (the fundus) is wrapped around the lower end of the esophagus and sewn into place, strengthening the lower esophageal sphincter (LES) and preventing reflux.

Who is a Candidate for GERD Surgery?

Candidates for GERD surgery typically include individuals who:

• Have persistent GERD symptoms despite maximum medical therapy.
• Experience severe side effects from GERD medications.
• Have complications related to GERD, such as esophagitis, Barrett's esophagus, or esophageal strictures.
• Prefer a long-term solution over lifelong medication use.

Benefits of GERD Surgery

GERD surgery offers several benefits, including:

• Long-term relief from acid reflux symptoms.
• Reduction or elimination of the need for GERD medications.
• Improvement in the quality of life.
• Prevention of complications associated with chronic GERD, such as esophageal cancer.

Preparing for GERD Surgery

Preparation for GERD surgery involves a thorough evaluation by a gastroenterologist and a surgeon. This evaluation may include:

• Endoscopy to examine the esophagus and stomach.
• Esophageal manometry to measure the strength and function of the esophagus.
• pH monitoring to assess acid levels in the esophagus.
• Imaging tests such as a barium swallow.

Patients are advised to follow specific preoperative instructions, such as fasting, adjusting current medications, and avoiding certain foods and beverages.

GERD Surgery - Procedure

GERD surgery is usually performed laparoscopically, which is minimally invasive and involves the following steps:

• Anesthesia: The patient is given general anesthesia to ensure they are asleep and pain-free during the surgery.
• Incisions: The surgeon makes several small incisions in the abdomen.
• Insertion of Instruments: A laparoscope (a thin tube with a camera) and other surgical instruments are inserted through the incisions.
• Fundoplication: The surgeon wraps the upper part of the stomach (fundus) around the lower esophagus to strengthen the lower esophageal sphincter (LES). This can be a complete (360-degree) wrap, known as Nissen fundoplication, or a partial wrap.

Recovery and Aftercare

Postoperative recovery varies from patient to patient, but generally includes:

• Hospital stay of 1-3 days.
• Gradual return to normal activities within 2-4 weeks.
• Adherence to a soft or liquid diet initially, followed by a gradual reintroduction of solid foods.
• Follow-up appointments with the surgeon to monitor recovery and address any concerns.

Risks and Complications

As with any surgery, GERD surgery carries potential risks and complications, including:

• Difficulty swallowing (dysphagia).
• Gas-bloat syndrome.
• Slippage or loosening of the wrap.
• Anesthesia-related risks.

However, the benefits often outweigh the risks for many patients, leading to significant improvement in GERD symptoms and quality of life.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital and the finest doctor, for GERD surgery at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!