GERD is an acronym for Gastro-Esophageal Reflux Disease, also referred to as gastric reflux. This condition occurs when the Lower Esophageal Sphincter (LES) is defective, causing acidic gastric juices to reflux, or flow back, from the stomach into the esophagus, causing heartburn, pain, irritation, and other complications.

What are the Symptoms of GERD?

Patients experiencing chronic pain, irritation, and discomfort as a result of gastric reflux should be evaluated by a physician. First-line treatment is medication-based, involving H2-receptor blockers or proton pump inhibitors (PPIs). Recalcitrant disease may require surgery.

Am I A Candidate for GERD Surgery?

If you have recurrent GERD which is unresponsive to medication (or do not wish to undergo lifetime pharmacotherapy), have complications such as a hiatal hernia or Barrett’s Esophagus with severe dysplastic changes (which may predispose patients to esophageal carcinoma), or are experiencing “atypical symptoms” (asthma, hoarseness, cough, chest pain, aspiration), laparoscopic surgery may be a viable option.

What Does Surgery for GERD Involve?

The primary surgical procedure employed is known as the Nissen fundoplication, which may be performed laparoscopically to reduce invasiveness. It involves wrapping the upper portion of the stomach, or fundus, around the bottom of the esophagus. Sometimes, newer procedures, such as the EndoCinch endoluminal fundoplication or the Stretta procedure, may be used instead.

What Are The Advantages Of Surgery for GERD?

Nissen fundoplication solves two major problems:

• It reduces a hiatal hernia (if present)
• It augments the pressure generated by the Lower Esophageal Sphincter.

This effectively stops the reflux of acid into the esophagus.

Performing the procedure laparoscopically, as opposed to the old open method provides for:

• Fewer/smaller incisions (5 small incisions, vs. 6-10 inch incision)
• Significantly less blood loss during procedure
• Better view of internal organs magnified via laparoscope during procedure
• Reduced incidence of infection; faster recovery.

How Long Does It Take?

The average procedure takes about two hours. Usually, an overnight stay in the hospital is required.

How Many Treatments Are Required?

Usually, one treatment, is required, although follow-up treatments may be necessary if dysplastic changes in the esophagus (Barrett’s Esophagus) continue to progress.

When Will I See Results?

The procedure corrects the underlying mechanical insufficiencies; therefore, improvement of the condition should begin immediately.

What Are My Alternatives to Treat GERD?

Management of GERD with medication is the primary alternative to surgery.

Will I Have Pain?

Sometimes, sore throat, difficulty swallowing or belching, and chest pain may occur

When Can I Go Back To Work Or School?

Usually one to two weeks.

Who Will Perform My GERD Surgery?

A physician experienced in the methods of gastroenterologic surgery and laparoscopy will perform the procedure.

How Much Does It Cost?

Please call TopSurgeons at 800-506-8084 for more information.

Will My Insurance Cover GERD treatment

Insurance should cover cases where surgery is deemed necessary or desirable to control the condition.