For the majority of people suffering from GERD, lifestyle changes and medication are sufficient to provide symptom relief and control.
Surgical intervention is required in approximately 5% of chronic GERD cases where:
- Other treatment options have been unsuccessful
- Relapses of GERD occur
- Complications or side effects from drug treatment occur
- The LES muscle is not working properly
- Esophageal cancer may have developed from chronic GERD
- The option of long-term drug treatment is not appropriate
- A diagnosis of Barrett’s esophagus, esophageal stricture, esophageal ulcers, esophageal bleeding or a hiatal hernia has been made
The goal of surgery is to improve the function of the lower esophageal sphincter (LES) and correct any structural abnormalities that may be the underlying cause of GERD such as hiatal hernia.
Where possible, Dr Baganto uses laparoscopic or transoral procedures when surgical treatment of GERD is indicated. These methods offer faster recovery, minimal or no scarring, less pain, shorter amounts of time in the hospital, and a faster recovery and return to normal activity.
Fundoplication
The most frequent GERD surgery is called a fundoplication or stomach wrap. This procedure wraps the top of the stomach (fundus) around the lower portion of the esophagus creating an artificial valve that prevents stomach contents from flowing back into the esophagus. Learn more about fundoplication for treating GERD »
Endoscopic Repair
Exciting advances in endoscopic surgery now allow surgeons to repair the LES without surgical incisions into the abdomen. Using a through the mouth (transoral) approach, the surgeon can repair the weakened LES in much the same way as in fundoplication. Learn more about transoral incisionless treatment of GERD »