Laparoscopic Anti-reflux (GERD) Surgery

Surgery for “heartburn”

What is Laparoscopic Anti-reflux?

“Heartburn” it is a symptom of gastroesophageal reflux disease. Stomach acids reflux or “back up” from the stomach into the esophagus. This harsh sensation can be felt between your ribs or just below your neck. The feeling may intensify and radiate through your chest and continue on into your throat and neck. Other symptoms may also include vomiting, difficulty swallowing and chronic coughing or wheezing.

How is GERD Treated?

GERD is generally treated in three steps:
I. A change in diet and over-the-counter antacids can reduce the harshness and repetition of your symptoms. Weight loss, reducing or eliminating smoking, reduction of alcohol consumption, and altering eating and sleeping patterns can also help.

II. Over-the-counter medications decrease the amount of stomach acid produced. Prescription drugs may be more effective in healing the esophagus and feeling relief from symptoms.
This needs to be discussed with your surgeon.

III. Patients who do not react well to lifestyle changes, over-the-counter medications or prescriptions may undergo a surgical procedure.

Surgery is very effective in treating GERD.

What are the advantages of the Laparoscopic Anti-reflux Method?

1. Shorter hospital stay
2. Improved cosmetic result
3. Reduced post-opertative pain and discomfort
4. Faster return to daily activities

How is this procedure performed?

The entire operation is performed “inside”. The valve between the esophagus and the stomach are reinforced by wrapping the upper portion of the stomach around the lowest portion of the esophagus. Small incisions are used to enter the abdomen through narrow tube-like instruments. The laparoscope (connected to a tiny video camera) is inserted through the small incision.

What are the advantages of the Laparoscopic Anti-reflux Surgery?

Advantages may include:

1. Mild post operative pain
2. Anti-reflux medication is usually not required after surgery.
3. Smaller incisions
4. Reduced recovery time
5. Reduced visibility of scaring
6. Return to daily activities within a week of surgery

What complications can occur?

• Difficulty swallowing post operation.
• Stomach Bloating
• Limited ability to belch or vomit