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Epigastric pains for almost eight years.
Discussion in 'All Categories' started by Hadiza Abba Al - Apr 4th, 2012 3:15 am.
Hadiza Abba Al
Hadiza Abba Al
I was diagnosed with hiatus hernia in2004,in 2008 with reflux ESPphagitis ,while in 2009 with sliding hiatus hernia.I did not respond to all ulcer drugs +antibiotic +antacid.sometimes with nospa,motilium or masopride .But the problem is not subsiding rather it is increasing .what is your suggestion.Thanks Mrs. Hadiza
re: Epigastric pains for almost eight years. by Dr M. K. Gupta - Apr 5th, 2012 9:50 pm
#1
Dr M. K. Gupta
Dr M. K. Gupta
Dear Abba
In our opinion you should go for fundoplication surgery. Fundoplication may be the standard surgical treatment for GERD. The purpose of the surgical treatment is to reduce heartburn brought on by acid reflux.

During the surgery, the upper area of the stomach (fundus) is gathered, wrapped and sutured (sewn) around the lower part of the esophagus. This enables the lower area of the esophagus to pass through a small tunnel produced from the stomach muscle. This will help prevent acid reflux, and strengthen the valve between your esophagus and stomach, which stops acid from copying in to the esophagus as easily.

Just when was fundoplication performed?
The doctor may recommend fundoplication whenever a patient has one of the following symptoms:

Severe heartburn / acid reflux disease

Severe inflammation from the esophagus that's been brought on by the backflow of contents of the stomach (erosive esophagitis)

There is a narrowing from the esophagus because its been damaged by acid reflux disease (esophageal stricture)

A hiatal hernia in which the upper part of the stomach slides up through the opening in the diaphragm and drop down again (para-esophageal hernia)

Chronic inflammation within the lungs, for example pneumonia, caused by inhaling gastric fluids that have supported in to the throat

Do you know the kinds of fundoplication surgery?

Laparoscopic fundoplication is most often performed. This surgery involves using a lighted tube that is inserted via a small incision within the abdomen. Recovery time is just a couple of days within the hospital.

A procedure called "Open" fundoplication requires a larger incision within the abdomen or even the chest. The recovery time with this procedure is longer than that for that laparoscopic surgery, requiring per week or longer remain in a healthcare facility.

Exactly what a patient can expect after fundoplication surgery?

During surgery, a nasogastric tube (NG tube) is positioned in the stomach with the nose and throat. Some surgeons leave this tube in for a couple of days after surgery, while other surgeons choose not to.

There is typically a one- to three-day stay in hospital following a laparoscopic surgery, along with a two- to six-day recovery with the "open" procedure.

Eating small, frequent meals while avoiding foods that trigger heartburn are important both during recovery and afterwards. Foods to avoid include:
Foods that are fried
Fats
Citrus fruits
Tomato products
Caffeine
Alcoholic beverages
Citrus fresh fruit juices
Chocolate
Peppermint
Pepper
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