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Gerd Surgery
By admin | September 27, 2008
Gastoesophageal Reflux Disease (GERD) can be a very unpleasant and, to some degree, debilitating condition. GERD is caused by the acidic contents of the stomach washing into the esophagus where it causes irritation and damage. If this condition cannot be brought under control by lifestyle changes and/ or medication, then it will continue to worsen and it’s symptoms will become more severe. It is at this stage that some GERD suffererss will be medically advised to consider GERD surgery. The surgery that is carried out on GERD patients is called Nissen Fundoplicaiton.
During Nissen Fundoplication surgery the fundus (the upper part of the stomach) is placed around the esophagus to help to strengthen the lower esophageal sphincter(LES). The LES is a ring of muscle situated at the bottom of the esophagus that acts as a valve to keep food and liquid in the stomach. GERD occurs when this muscle becomes weakened or begins to open spasmodically. GERD surgery is aimed at preventing the stomach’s contents from coming into contact with the esophagus.
There are 2 types of Nissen Fundoplication surgery: open and laproscopic.
- In open Nissen Fundoplication surgery a relatively large incisions are made. The fundus is then wrapped around the esophagus and sewn into place. The aim is that this will put pressure on the LES assisting it to prevent acidic matter reaching the esophagus.
- In Laproscopic Nissen Fundoplication the abdomen is usually punctured 4-5 times to facilitate the insertion of a telescopic camera and surgical instruments. The same procedure as open Fundoplication is then carried out.
Like all surgical procedures GERD surgery carries risk. In addition, to the risks of anesthesia, there can be problems associated with how the stomach has been wrapped around the esophagus (i.e. too tightly or too high up the esophagus) and the esophagus can move out of position which means that the LES ceases to be supported. For these and other reasons, there is a possibility that heartburn could return and that gas build up could cause discomfort and bloating.
GERD surgery can provide some relief to patients who have been experiencing severe pain and discomfort. It is not, however, guarenteed to provide a complete cure to the problem. Anyone considering this surgery should make their decision in consultation with a surgeon who is experienced in performing GERD surgery.
Topics: Acid Reflux, gerd, Heartburn Treatment | No Comments »
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