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Surgical
treatment for Gastric Reflux Disease
Laparoscopic Nissen Fundoplication
What is Gastric Reflux? Gastric Reflux is heartburn discomfort from
caustic fluid in the esophagus and indigestion after meals. Most
Americans occasionally experience this, but 18 million people
experience it daily with no relief from non-prescription drugs.
These people have an incompetent valve at the end of their
esophagus. If the valve is weak it will not prevent reflux of
stomach contents and acid from backing up into the esophagus. The
long-term risk of continuous stomach acid reflux is ulcer formation,
scarring which leads to narrowing of the esophagus, and Barrett’s
esophagus, which can lead to esophageal cancer. Lifestyle changes
are the first line of treatment. If you smoke, stopping will have a
major impact on reducing symptoms. Weight loss, dietary habits and
waiting 2 hours after eating before going to bed will also help.
Medication treatment is next. If lifestyle changes have not been
successful, drugs known as H2 blockers and/or proton pump
inhibitors, along with antacids are started. Some people still find
no relief or are not willing or able to afford to take prescription
drugs all their life. In that case surgical treatment may be an
option. Surgical treatment can be done laparoscopically. Four to six
small puncture sites on the abdomen are made. A tiny camera is
inserted along with the instruments in these sites. A small portion
of the stomach is wrapped around the lower part of the esophagus to
create a new valve. Over 90% of the patients become symptom free and
off medication after surgery. Side effects may last 2-4 weeks, these
include bloating, inability to eat large meals, flatulence, and a
sensation that food is sticking when swallowing. Not everyone is a
candidate for the laparoscopic approach. This medical update is
brought to you by Dr. Mark E. Petrites. Call today for a
consultation to see if this procedure is right for you. 239-495-3990
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