Fundoplication for Gastroesophageal Reflux

GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)/ ACID REFLUX

GERD/ acid reflux is a condition which develops when the reflux of stomach contents cause troublesome symptoms and/or complications. GERD occurs due to poor closure of the lower esophageal sphincter (the valve at the junction of the food pipe and the stomach).

 

Burning Sensation in Chest and Throat

 

Signs and symptoms of Gastro-Esophageal Reflux Disease (GERD):

  • A burning sensation in chest and throat (heartburn), sometimes spreading to your throat, along with a sour taste in your mouth
  • Regurgitation of food or sour liquid (acid reflux)
  • Chest pain
  • Difficulty swallowing (dysphagia)
  • Dry cough
  • Hoarseness or sore throat
  • Sensation or feeling of  lump in throat

 

Complications:

  • Narrowing of the esophagus (esophageal stricture).
  • An open sore in the esophagus (esophageal ulcer).
  • Precancerous changes in the esophagus (Barrett’s esophagus)

 

Treatment:

  • Lifestyle changes: Weight reduction, elevation of head end of bed, avoidance of specific foods
  • Medicines: Proton pump inhibitors (Pantoprazole); H2 Blockers (Rantac)
  • Surgery is beneficial in situations where medications aren’t helpful, you wish to avoid long-term medication use or when complications develop.

 

This surgery involves tightening the lower esophageal sphincter to prevent reflux by wrapping the very top of the stomach around the outside of the lower esophagus (Fundoplication). It’s performed laparoscopically and the patient is back home in a day or two. Laparoscopic fundoplication improves quality of life compared to medical management

 

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