Surgery for GERD

As with any other problem, the treatments and drugs available for GERD are numerous. Some of the simple treatments would be change of lifestyle and anti-acidic medicines. Another alternative treatment for the condition of GERD would be surgery. Surgery is usually not prescribed at the onset of the condition. It is an option chosen when all the other treatments and medicines are found to be ineffective. Sometimes all the treatments given could prove to be of no use and this necessitates the surgery. However it should be kept in mind that surgery is the last option under consideration.

Acid reflux is treated by a surgery known as fundoplication procedure. In this surgery very small incisions are made in the upper abdomen. A camera and surgical instruments are passed through the incision. In fundoplication procedure any visible hernia or hernial sac is detached. It is then stitched back into place to reduce the pressure on the diaphragm which is usually the cause for symptoms of acid reflux. Then the muscle where the diaphragm meets the oesophagus is tightened. This reduces the leakage of acid reflux and hence prevents its flow into the oesophagus. An artificial lower oesophageal sphincter is also created in the stomach to reduce future reflux.

Surgical procedure has found to be more effective than any other treatment methods available. It can provide relief from symptoms and complications that occur due to acid reflux. As many as 85% of the patients who undergo the surgery are found to have positive results. The surgery can keep you away from the problems for up to 10 years.

Many patients will still need to follow medication to get relief from the discomfort and pain either because it has not been properly dealt with during the surgery or because the condition has returned. This is the case with almost half of the people who go for surgery. Most of the patients face further complications post the surgery.

The risk associated with surgery is that the food may be trapped by the artificial muscle. This condition can be easily treated. In rare cases another surgery may be required to open the artificial sphincter to allow the passage of food and correct the problem.

Just like any other surgery, the surgery for acid reflux i.e. fundoplication procedure has potential risks and side effects. Prior to undergoing the surgery it is necessary to discuss with your surgeon the possible complications and risks associated. You can also find out if any alternative treatment would be better for your condition. Only when all other options are closed, should you opt for surgery. Have a complete talk with the surgeon as to what are the precautions you may have to follow before and post the surgery. All these things will help you to make an informed decision.

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