Understanding GERD Surgery: How It Works

 

Gastroesophageal reflux disease also known as GERD is a long-term condition in which stomach acid backs up into the food pipe. This leads to burning or acidity. As is the case with many patients; however, symptoms can be controlled through lifestyle modification or drugs and some necessitate surgery. This blog is intended to give readers basic information about the GERD surgery in Jabalpur and the outcome that one is likely to experience.

Why Consider GERD Surgery?

GERD surgery is typically recommended for patients who:

• Have severe, persistent symptoms that do not respond to medication.

• Experience complications like esophagitis (inflammation of the esophagus), strictures, or Barrett’s esophagus.

• Prefer a long-term solution over lifelong medication use.

• Have side effects from GERD medications.

Types of GERD Surgery

1. Nissen Fundoplication: The most common surgical treatment for GERD, Nissen fundoplication, involves wrapping the top part of the stomach around the lower esophagus to strengthen the valve between the esophagus and stomach. This procedure prevents acid from backing up into the esophagus.

2. LINX Device Implantation: A newer, less invasive option, the LINX procedure, involves placing a ring of tiny magnetic beads around the junction of the stomach and esophagus. The magnetic attraction between the beads helps keep the junction closed but allows it to open when swallowing.

3. Toupet (Partial) Fundoplication: This procedure is similar to Nissen fundoplication but involves wrapping the stomach only partway around the esophagus. It is often used for patients with weak esophageal muscles.

How GERD Surgery Works?

Preoperative Preparation

Before GERD surgery in Jabalpur, patients undergo several tests, including:

•Endoscopy to visualize the esophagus and stomach.

• pH measurement for the level of acidity in the esophagus.

• Manometry to assess esophageal muscle function.

The Surgical Procedure

The majority of GERD surgeries are done by laparoscopic surgery in Jabalpur technique which requires little incisions and the use of a cable-linked camera and mechanical equipment. This minimizes the amount of tissue damage and thus the period for recovery and the pain that patients undergo after the operation.

• Nissen Fundoplication: During the procedure, the laparoscopic surgeon in Jabalpur wraps the upper part of the stomach around the esophagus and stitches it in place. This reinforces the lower esophageal sphincter, preventing acid reflux.

• LINX Device Implantation: To perform the surgery, the surgeon creates an opening that is small and positions the LINX device around the area of the lower esophagus. The treatment does not take long either and the procedure could be completed within half an hour.

Postoperative Care

After surgery, patients may experience some discomfort and will need to follow a specific diet. Initially, a liquid diet is recommended, gradually progressing to soft foods and eventually a regular diet.

• Recovery Time: Most patients can return to normal activities within a few days to a week, although heavy lifting and strenuous activities should be avoided for several weeks.

• Follow-Up: Regular follow-up appointments are essential to monitor recovery and ensure the effectiveness of the surgery.

Benefits and Risks

Benefits

•Significant reduction or elimination of GERD symptoms.

•Improvement in quality of life.

•Decreased reliance on medications.

Risks

•As with any surgery, there are potential risks, including infection, bleeding, and adverse reactions to anesthesia.

• Some patients may experience difficulty swallowing, gas bloat or a return of symptoms over time.

GERD surgery offers a viable solution for those suffering from chronic acid reflux that doesn't respond to other treatments. By understanding how these procedures work and what to expect, patients can make informed decisions about their health. If you suffer from severe GERD symptoms, consult with the best laparoscopic surgeon in Jabalpur to determine if surgery is the right option for you.