Acid Reflux Cured: Surgical Options
If nothing else has worked, there is a surgical solution for Acid Reflux.
This option is used after trying drugs without success or if the patient has severe bleeding or other problems that may call for surgery.
The standard surgical procedure for this is called Nissen fundoplication. This was developed in the 1950’s, a long and serious surgery that required the patient to be hospitalized for at least a week. You would have a painful recovery time of at least a month and end up with a 10 inch scar.
The results were slow and often the patient would have trouble swallowing. The Acid Reflux symptoms would even seem to get worse.
In the last 25 years or so, laparoscopic surgery has advanced by leaps and bounds, Problems faced with the traditional operation. Have been ironed out. The overall availability of excellent pathological diagnostic tests has also contributed in a meaningful way, to a better selection of patients for surgery.
The surgical procedure can be compared to securing the contents of a room in the case of a typhoon or fast flood.
Surgery is conducted to support and strengthen the Lower Esophageal Sphincter muscle by giving it support from stomach tissue. Since the Lower Esophageal Sphincter is the gateway from the esophagus to the stomach, it is natural to consider stomach tissue , which is then stretched to work around the sphincter, and permanently fixed there, so as to give the required support.
The stomach portion or hiatal hernia which is bulging up, is pushed back down into place. The Hiatal hernia sac is pulled below the diaphragm and attached and stitched there. Abdominal pressure may be reduced by strengthening the Esophageal Sphincter and dealing with the hernia. This will provide added protection against the backflow of gastric juices and food mixtures.
Ulcers and any scarring in the Esophageal passage may be treated as well during the surgery. The success rate for this type of surgery is about 95% allowing the patient relief from Acid Reflux and no longer needing any medication.
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