Reflux
Gastroesophageal reflux disease (GERD), commonly known as reflux, is a condition characterised by the reverse flow of stomach acid into the oesophagus, causing heartburn and other symptoms. The treatment of reflux can vary depending on the severity of the condition and the individual patient.
Medical treatments for reflux
Medical treatment options for reflux include antacids, H2 receptor blockers, and proton pump inhibitors (PPIs). These medications work by reducing the amount of acid produced in the stomach, which helps to alleviate symptoms and prevent damage to the oesophagus. These medications are usually taken for a period of time, in some cases long term, to manage symptoms and prevent the recurrence of the disease.
Surgical treatments for reflux
In some cases, medical treatment may not be enough to alleviate symptoms and surgery may be recommended. The two main surgical options for reflux are laparoscopic hiatus hernia repair and laparoscopic fundoplication.
Laparoscopic hiatus hernia repair is a procedure that repairs a hiatal hernia, which is a common cause of reflux. This procedure is typically done through small incisions using laparoscopic techniques. The surgeon will move the stomach back into its normal position and repair the opening in the diaphragm that allows the stomach to herniate, thereby preventing the acid reflux.
Laparoscopic fundoplication is a procedure that involves wrapping a portion of the stomach around the oesophagus to create a barrier that prevents acid reflux. This procedure is also typically done through small incisions using laparoscopic techniques. It can be done as a Nissen or Toupet fundoplication.
Both laparoscopic hiatus hernia repair and laparoscopic fundoplication are considered highly effective in treating reflux and have similar outcomes in terms of symptom relief and quality of life improvement. However, the best surgical option will depend on the individual patient and the specific cause of their reflux.
It’s worth mentioning that surgery is usually recommended for people who don’t respond to lifestyle changes and medication, or when medication is not well tolerated. Also, patients should expect to have a period of recovery after surgery, as well as dietary and lifestyle changes to maintain the results of the surgery.
Expectations
The outcome of surgical treatment varies and depends on various factors such as the stage and location of the cancer, the overall health of the patient and the expertise of the surgical team.
Recovery from surgery can take several weeks or even months, depending on the extent of the surgery. Pain and discomfort are common after the surgery, and patients will likely need to follow a special diet to help the healing process. They will also need to have regular follow-up appointments with Dr Lorenzo to monitor their recovery.
