When someone has suffered from acid reflux, also known as GERD (Gastroesophageal Reflux Disease), or persistent heartburn, and changes in eating habits or medications have not resolved the symptoms, it is time to consult with a Glendora General Surgeon. If left untreated, acid reflux and heartburn may lead to complications such as erosion of the esophageal, ulcers, tooth decay, narrowing or inflammation of the esophagus, and even cancer. The surgeon will examine, analyze, and evaluate a patient’s complete medical condition to determine if, and which type of, operation technique will be most effective: open, laparoscopic, or endoluminal.
Types of Acid-Reflux and Heartburn Surgeries
Open Fundoplication: The surgeon makes one long incision in the abdomen. If there is a hernia, it is repaired first with stitches to tighten the diaphragm and stop the upward bulging of the stomach. Then, the top portion of the stomach is wrapped around and stitched to the end of the esophagus to prevent acid, fluids, and food from leaving the stomach and flowing upward into the esophagus. The incision is closed with sutures or staples.
Laparoscopic Fundoplication: The surgeon makes a few small incisions in the abdomen, one medical scope with a tiny attached camera is inserted through one incision and special surgical tools are used through the other incisions. The camera is connected to an operating room monitor. The surgeon performs the same surgical procedure as an open fundoplication, but only using the smaller incisions. The incisions are closed with sutures or staples.
Endoluminal Fundoplication: This latest procedure does not require any incisions. An endoscope is a special tool with an attached camera that is placed in your mouth and down into your esophagus. The surgeon uses this tool to place small clips at the location where the esophagus and stomach meet. This procedure prevents the backup of stomach fluids and acids.
Postoperative Care
The surgeon will instruct the patient on post-operative care before he or she leaves the hospital. There will be guidance on dietary foods, any temporary lifestyle changes when to schedule follow-up appointments, and when it will be okay to resume normal daily activities.
