by Mahnke D

Surgery may be needed by people who are not helped by other methods. Options are:

Fundoplication

Fundoplication is a common surgery that wraps the upper part of the stomach around the lower esophageal sphincter (LES). This puts pressure on the LES and keeps it closed when it needs to be.

A person who has a hiatal hernia can have it fixed during this surgery.

Fundoplication
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This surgery is done in one of two ways:

  • Nissen—An open cut is made. This lets the doctor see the structures that need to be fixed.
  • Laparoscopic—Small cuts are made in the belly. Tubes are placed through the cuts. Tools and a lighted camera are placed through the tubes. The doctor can view the area on a nearby screen.

Recovery tends to be faster after a laparoscopic procedure. But, it may not work for everyone.

Transoral Incisionless Fundoplication (TIF)

A scope is passed through the mouth and to the stomach. Many methods can be used to lower the amount of acid flowing backwards from the stomach. TIF uses fasteners to reshape the upper part of the stomach. This tightens the LES.

TIF has a shorter recovery time and is less risky than other surgeries.

LINX Reflux Management System

LINX is a small band with magnetic beads. A scope is used to place the band around the outside of the esophagus where it meets the stomach. This band helps the LES work better. The magnets keep the LES closed when it needs to be. Pressure from food or drink coming toward the stomach pushes the beads apart to allow entry.

References

Acid reflux (GER and GERD) in adults. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). American Gastroenterological Association website. Available at: https://aga-cms-assets.s3.amazonaws.com/2018214195040---All%5FGERD%5F2017.pdf. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/gastroesophageal-reflux-disease-gerd. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). Merck Manual Professional Version. Available at: https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/gastroesophageal-reflux-disease-gerd. Accessed March 18, 2022.

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