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What About Surgery To Treat My GERD?

Center for Videoscopic and Laser Surgery
Some people may need or elect to have surgery because their reflux disease is severe or it isn't responding to medications and lifestyle changes. Surgical treatments for this disorder have been very successful in treating it. Today surgery can often be done using a less invasive method with quicker recovery and less pain. This surgery is done utilizing an instrument called a laparoscope and does not involve making a large incision into the stomach through muscles and tissue.
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Should I use medications or surgery to treat gastroesophageal reflux disease (GERD)?

Gastroesophageal Reflux Disease (GERD), SVCMC; New York NY
Gastroesophageal reflux disease (GERD) develops when stomach acid and juices back up, or reflux, into the esophagus, the muscular tube that connects the throat to the stomach. This happens when the valve between the lower end of the esophagus and the stomach (the lower esophageal sphincter) does not close tightly enough. GERD most commonly occurs when the lower esophageal sphincter relaxes at the wrong time (that is, when you are not swallowing) and remains open too long.
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What are the most common prescription medications used to treat GERD symptoms?

HeartburnHelp.com: Heartburn and GERD FAQ
Proton pump inhibitors, such as Prilosec OTC® and Aciphex® , are another type of acid reducer. They suppress stomach acid. By drastically reducing the acid, these drugs can help stop the irritation and allow the damaged tissue in the esophagus to heal.
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What is GERD?

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GERD stands for Gastroesophageal Reflux Disease. Gastroesophageal reflux describes a backflow of acid from the stomach into the swallowing tube or esophagus. Almost everyone experiences gastroesophageal reflux at some time. The usual symptom is heartburn, an uncomfortable burning sensation behind the breastbone, most commonly occurring after a meal. In some individuals this reflux is frequent or severe enough to cause more significant problems, that is a disease.
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Health Information
Gastroesophageal reflux disease (GERD) is a digestive disorder that is caused by gastric acid flowing from the stomach into the esophagus. Gastroesophageal refers to the stomach and esophagus, and reflux means to flow back or return. Gastroesophageal reflux (GER) is the return of acidic stomach juices, or food and fluids, back up into the esophagus. GER is very common in infants, though it can occur at any age. It is the most common cause of vomiting during infancy.
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When is surgery needed for GERD?

Gastroesophageal Reflux Disease (GERD) FAQs Medical Referenc...
Surgery is never the first option for treating gastroesophageal reflux disease. If prescription drugs are not relieving symptoms, or if you have serious complications, you may need surgery. The operation is relatively simple and is called fundoplication. Its purpose is to tighten the LES muscle. The stomach is tied in such a way as to prevent acid from flowing backward into the esophagus. This surgery is successful for more than 85% of people.
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If I Have Surgery To Treat This, Can it Come Back?

Center for Videoscopic and Laser Surgery
Yes, in some patients inguinal hernias return. However, it is very infrequent. Recurrency rates for Dr. McKernan's patients are less than 3%; national rates are 10% or greater.
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Can surgery treat PCOS?

PCOS (Polycystic Ovarian Syndrome) - Frequently Asked Questi...
The removal of ovarian cysts is not an effective way to treat PCOS. Cysts on the ovaries are the result of hormone imbalances that begin with the production of too much insulin. This over-abundance of insulin causes an increase in male hormones called androgens or testosterone, which eventually create the cysts. As a result, removing the cysts does not remove the problem, just a symptom.
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What are some symptoms of GERD?

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The four major symptoms of GERD are: q Heartburn (uncomfortable, rising, burning sensation behind the breastbone). q Regurgitation of gastric acid or sour contents into the mouth. q Difficult and/or painful swallowing. q Chest pain. Heartburn is the most common symptom of GERD. In some patients it may be accompanied by other GERD symptoms, such as regurgitation of gastric contents into the mouth, chest pain and difficulty swallowing.
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How do people get GERD?

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What causes GERD? GERD is caused by reflux of stomach acid into the esophagus. In most patients this is due to a transient relaxation of the "gate" or sphincter that keeps the lower end of the esophagus closed when a person is not swallowing food or liquids. This transient relaxation happens a few times each day in people without GERD. Why it happens more frequently in GERD patients isn't known. The esophagus is not able to cope with acid as well as the stomach and is easily injured.
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Who is afflicted with GERD?

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GERD afflicts people of every socioeconomic class, ethnic group and age. However, the incidence does seem to increase quite dramatically above the age of 40. Greater than 50 percent of those afflicted with GERD are between the ages of 45-64 (both male and female).
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What are the complications of GERD?

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Only a minority of patients develop complications of GERD. These complications include breaks in the lining of the esophagus (esophageal erosions), esophageal ulcer, and narrowing of the esophagus (esophageal stricture). In some patients, the normal esophageal lining or epithelium may be replaced with abnormal (Barrett's) epithelium. This condition (Barrett's esophagus) has been linked to cancer of the esophagus and must be carefully watched.
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What about GERD and smoking?

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Smoking doesn't cause GERD and there is little evidence that smoking significantly worsens GERD. Stopping smoking is a good idea anyway.
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Can GERD be cured?

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Unfortunately, GERD, in general, cannot be cured at present. In some cases, it may be a temporary condition associated with a specific aggravating factor such as pregnancy. In such cases, GERD will go away on its own when the pregnancy has ended. In most cases GERD is a chronic condition. However, it can be effectively managed with medications and lifestyle modifications in almost everybody. In severe cases, surgery is an option.
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Where can I go for more information about GERD?

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If you think you might have GERD - see your doctor who can determine if you have GERD and, if so, can evaluate its severity.
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What causes GERD?

Health Information
GERD is often the result of conditions that affect the lower esophageal sphincter (LES). The LES, a muscle located at the bottom of the esophagus, opens to let food in and closes to keep food in the stomach. When this muscle relaxes too often or for too long, acid refluxes back into the esophagus, causing vomiting or heartburn. Everyone has gastroesophageal reflux from time to time. If you have ever burped and had an acid taste in your mouth, you have had reflux.
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How is GERD diagnosed?

Health Information
Your child's physician will perform a physical examination and obtain a medical history. Diagnostic procedures that may be done to help evaluate GERD include: upper GI (gastrointestinal) series - a diagnostic test that examines the organs of the upper part of the digestive system: the esophagus, stomach, and duodenum (the first section of the small intestine).
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Frequently Asked Questions
Acid burning under the chest or regurgitation of acid into the back of the throat are not the only symptoms of GERD. Nighttime awakening with coughing and choking, chest pain mimicking heart attacks, chronic cough or hoarseness, and even asthma can be due to GERD. Occasionally, we will see patients who have been to the emergency room or their physician multiple times for chest pains that they (the patients and the physicians) thought might be a heart attack.
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Is surgery an option in GERD?

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Yes. If you have failed medical treatment or opt not to continue with medical treatment and watching your diet then you should consider surgery. The best surgery is what is called a laparoscopic Nissen's fundoplication. It is successful in the hand of surgeons experienced with this surgery. No.
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Is surgery the only option to treat a cataract?

Cataract Surgery Questions at AcrySofReSTOR.com
Just because you have a cataract does not mean that you have to have it removed. Cataract surgery only becomes necessary if you are not happy with your vision and want to see better. Talk to your doctor if you have any questions or concerns about your vision. Thanks to numbing drops and medications to help you relax, this procedure involves minimal discomfort.
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What types of surgery are used to treat inflammatory bowel disease (IBD)?

Inflammatory Bowel Disease
Sometimes severe IBD does not get better with medicine. In these cases, doctors may suggest surgery to fix or remove damaged parts of the intestine. There are different types of surgery used to treat IBD. About 75 percent of people with CD need surgery at some point in their life. Surgery can relieve symptoms and correct problems like blockages, fistulae or bleeding in the intestine. After surgery, some people are able to stop taking daily medicines for CD.
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FAQ : Gerd Acid Reflux
GERD stands for G astro e sophageal R eflux D isease. Gastroesophageal reflux describes a backflow of acid from the stomach into the swallowing tube or esophagus. This acid can irritate and sometimes damage the delicate lining on the inside of the esophagus. Almost everyone experiences gastroesophageal reflux at some time. The usual symptom is heartburn, an uncomfortable burning sensation behind the breastbone, most commonly occurring after a meal.
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How do I know if my case of GERD warrants surgery?

Guthrie - Services - Surgery
Surgery to correct GERD, known as a Nissen fundoplication procedure, is performed in cases where lifestyle modifications and medication have not been effective. This surgery can often be performed laparoscopically, which causes less pain and decreases recovery time. Surgery is indicated when a patient has severe chronic heartburn that disrupts his or her daily activities and is unresponsive to medication.
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