Medication for Treating Acid Reflux and Heartburn
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GERD Surgery - Fundoplication
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There are different ways of performing a GERD Surgery, but the focus of this article will be on Fundoplication.
Dr Kan is experienced in all of the following:
- Nissen’s fundoplication. This is when your surgeon wraps the top part of your stomach all the way around the lower part of your oesophagus.
- Partial fundoplication. In this type, your surgeon wraps your stomach just part of the way around your oesophagus. These techniques includes Dor (anterior 180° – 200°) and Toupet (posterior 270°).
In this post, we’ll be focusing on the topic of Laparoscopic Nissen fundoplication
Laparoscopic Nissen fundoplication is currently the ‘gold-standard’ for treating GERD in patients who don’t respond completely to medications or can’t take medications. Laparoscopic Nissen fundoplication is the most commonly performed procedure in treating anti-reflux.
During the Nissen fundoplication, the upper part of the stomach is wrapped around the LES (lower oesophageal sphincter) to strengthen the sphincter, prevent acid reflux, and repair a hiatal hernia. This essentially repairs the valve at the end of the oesophagus that doesn’t work properly in patients with GERD. As opposed to medications for GERD, surgery stops all types of reflux, including digestive enzymes and acid. Because of this, surgery can cure reflux like medications can’t. If a hiatal hernia is present, this is fixed at the same time as the Nissen fundoplication.
What is a laparoscopic Nissen fundoplication?
Laparoscopic Nissen fundoplication is a minimally invasive (keyhole) procedure that restores normal functioning in your body’s natural reflux barrier (lower oesophageal sphincter).Laparoscopic Nissen fundoplication is currently the ‘gold-standard’ for treating GERD in patients who don’t respond completely to medications or can’t take medications for another reason.
Laparoscopic Nissen fundoplication is also the most commonly performed anti-reflux procedure. As a laparoscopic procedure, Nissen fundoplication involves using specialized tools inserted through very small incisions above your belly button (laparoscopy).During surgery, the top of the stomach (the fundus – hence the term fundoplication) is wrapped around the bottom of the oesophagus. This essentially repairs the valve at the end of the oesophagus that doesn’t work properly in patients with GERD.
What are the results of laparoscopic Nissen fundoplication?
When performed by an experienced surgeon, the results of GERD surgery are excellent. Patients suffering from GERD should expect that their quality of life will be significantly improved after this procedure. Most patients are also able to stop taking acid-suppression medication and can also typically expect to be discharged the day after the procedure.
What are the possible complications of Laparoscopic Nissen fundoplication surgery?
Serious complications after laparoscopic anti-reflux surgery are rare. However, should you be keen to find out more on the risks, options, and alternatives to laparoscopic Nissen fundoplication, please make an appointment with our acid reflux surgeon Dr Kan Yuk Man.
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