Gatsroesophageal reflux disease (GERD) is a condition that affects patients of all ages and genders. Symptoms of this condition include, regurgitation of stomach juices into the esophagus and mouth, abdominal discomfort and dyspepsia (indigestion) among others. The underlying cause of this condition is a weak sphincter between the stomach and the esophagus that fails to restrict the movement of stomach contents. There are a number of important facts on reflux surgery Tx patients need to have.
The surgery is medically termed fundoplication. The main procedure here is to wrap the upper stomach portion around the lower part of the stomach and to sew it in a manner that secure it. When this is done, a small tunnel is created. The esophagus passes through this tunnel before eventually joining up with the stomach. The lower esophageal sphincter is thus reinforced and the probability of regurgitation significantly reduced.
Just as is the case with many major operations, adequate preparation is a necessity. The first step of preparation is to undergo an evaluation by a doctor to assess the need for the operation. Some blood tests may also be necessary. Such will include, for example, a total blood count and kidney function tests. If the patient is on treatment with blood thinning drugs, they have to be discontinued for at least two weeks.
A number of different techniques of operation exist. The choice is determined by the physical appearance of the patient and the surgical skill of the patient among others. In general, two main methods exist: an open technique and a laparoscopic technique. The open technique is used when the patient is overweight or is found to have a short esophagus. With this approach the sphincter is accessed through the abdominal or chest region.
The commonest minimally invasive technique is known as laparoscopic fundoplication. In this method, the sphincter is accessed through three ports. One of these ports is used for the insertion of a camera that is in turn used to capture images of the surgical field. The surgeon can then operate comfortably with the guidance of images projected onto a monitor. The laparoscopic technique has fewer side effects and generally, better outcomes.
The time required for one to recover depends on the method that is employed to perform the operation. The open procedure is more extensive and hence requires a longer period of time for recovery. Patients have to be admitted to the hospital for several days and require weeks or months for full recovery. When the laparoscopic technique is used, the time is reduced significantly.
There may be a need to have some dietary changes particularly in the first few days after the surgery. Generally, one should ensure that the food chosen is soft enough. It should ideally be eaten in small quantities after being chewed thoroughly. These precautions ensure that food can pass through the esophagus in easily and does not compromise the healing process. Extraneous physical activity should be avoided.
Although most of the patients that undergo this operation show a marked improvement in their symptoms, there is a significant number of them who experience no change. As a matter of fact symptoms such as flatulence, difficulty in swallowing and belching may worsen. Such patients need to be on long term treatment with antacids. If symptoms are very severe, an additional operation is sometimes needed.
The surgery is medically termed fundoplication. The main procedure here is to wrap the upper stomach portion around the lower part of the stomach and to sew it in a manner that secure it. When this is done, a small tunnel is created. The esophagus passes through this tunnel before eventually joining up with the stomach. The lower esophageal sphincter is thus reinforced and the probability of regurgitation significantly reduced.
Just as is the case with many major operations, adequate preparation is a necessity. The first step of preparation is to undergo an evaluation by a doctor to assess the need for the operation. Some blood tests may also be necessary. Such will include, for example, a total blood count and kidney function tests. If the patient is on treatment with blood thinning drugs, they have to be discontinued for at least two weeks.
A number of different techniques of operation exist. The choice is determined by the physical appearance of the patient and the surgical skill of the patient among others. In general, two main methods exist: an open technique and a laparoscopic technique. The open technique is used when the patient is overweight or is found to have a short esophagus. With this approach the sphincter is accessed through the abdominal or chest region.
The commonest minimally invasive technique is known as laparoscopic fundoplication. In this method, the sphincter is accessed through three ports. One of these ports is used for the insertion of a camera that is in turn used to capture images of the surgical field. The surgeon can then operate comfortably with the guidance of images projected onto a monitor. The laparoscopic technique has fewer side effects and generally, better outcomes.
The time required for one to recover depends on the method that is employed to perform the operation. The open procedure is more extensive and hence requires a longer period of time for recovery. Patients have to be admitted to the hospital for several days and require weeks or months for full recovery. When the laparoscopic technique is used, the time is reduced significantly.
There may be a need to have some dietary changes particularly in the first few days after the surgery. Generally, one should ensure that the food chosen is soft enough. It should ideally be eaten in small quantities after being chewed thoroughly. These precautions ensure that food can pass through the esophagus in easily and does not compromise the healing process. Extraneous physical activity should be avoided.
Although most of the patients that undergo this operation show a marked improvement in their symptoms, there is a significant number of them who experience no change. As a matter of fact symptoms such as flatulence, difficulty in swallowing and belching may worsen. Such patients need to be on long term treatment with antacids. If symptoms are very severe, an additional operation is sometimes needed.
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