Laparoscopic Anti-Reflux (GERD) Surgery Patient Information (FAQs)

Laparoscopic Anti-Reflux (GERD) Surgery Patient Information (FAQs)
Antacids which neutralizes the acids produced by stomach or over-the-counter medication which reduces the amount of acid produced can help. But if these medications do not work then Surgery is required.
Long-standing GERD can lead to a precancerous condition called Barrett's esophagus, This condition can progress further into low- or high-grade dysplasia, and then to esophageal cancer. 
Lifestyle and diet changes can help but if not successful then a Surgery known as Laparoscopic antireflux surgery can be perfomed for permanent cure.
GERD is increasing throughout the entire world.

According to SAGES is affects :
  • 18.1%–27.8% in North America
  • 8.8%–25.9% in Europe
  • 2.5%–7.8% in East Asia
  • 8.7%–33.1% in the Middle East
  • 11.6% in Australia
  • 23.0% in South America

 

Following procedures helps in diagnosis :

  • An upper GI or esophagogastroduodenoscopy (EGD),
  • A barium x-ray,
  • Esophageal pH monitoring,
  • Esophageal manometry.
In extreme cases, if untreated, GERD leads to Barrett's esophagus which may progress into esophageal cancer

The advantages of the laparoscopic approach is that it usually provides:

  • reduced postoperative pain
  • shorter hospital stay
  • a faster return to work
  • improved cosmetic result
Lifestyle changes such as weight loss, helthier diet, and not eating near the time of going to bed can help.
Antacids and over-the-counter medications can also prove beneficial.
Heartburn, also known as acid indigestion is the most frequent symptom of GERD.

There are any number of causes for GERD:

  • Eating certain foods that triggers heartburn
  • Ingesting alcohol and caffeine;
  • Eating too much;
  • Being overweight;
  • Lying down after a meal.
  • Certain medications
  • Some medical conditions 
Surgical treatment of GERD is called Laparosocpic anti-reflux surgery or laparoscopic fundoplication.
In this surgery valve present at thew base of the esophagus is reinforced to prevent reflux.
Smoking, excessive alcohol consumption and specially obesity can increase the chances of GERD several folds.
People with family history of GERD are also more prone to it.
In most cases you will always take medications to control symptoms of GERD, unless you have had surgery to tighten the lower esophageal sphincter. This surgical procedure prevents stomach acid from entering the lower esophagus.

 

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