GERD

Gastroesophageal reflux barium X-ray

One of the common symptoms of GERD (Gastroesophageal Reflux Disease) is heartburn, most frequently described as a sub-sternal (under the middle of the chest) burning that occurs after meals and often worsen when lying down. Sometimes GERD can be treated with the application of medications to suppress the production of acid by the stomach. However should the medications fail there are other options available.

Diagnosis of GERD can involve a number of tests including endoscopy, biopsies, x-rays, examination of the throat and larynx, esophageal acid testing, esophageal motility testing, gastric emptying studies, and acid perfusion test.

One of these options is fundoplication surgery. During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This surgery strengthens the valve between the esophagus and stomach, which stops the acid from backing up into the esophagus as easily and allows it to heal.

A laparoscopic method can be used, with this approach you will most likely be in the hospital for only 1 or 2 days. A general anesthetic is used. After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work.

After surgery, you may need to change the way you eat. You may need to eat only soft foods until the surgery heals, and you should chew food thoroughly and eat more slowly to give the food time to go down the esophagus.

As with any surgery there are always risks involved. Dr. Rene L. Alvarez has a particular interest in the diagnosis and treatment of GERDs, if you have already been diagnosed make sure to let them know when making your appointment with South Peninsula General Surgery & Endoscopy.