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Is Acid Reflux curable through surgery?
In very severe cases where no medicines
seem to work, and there is the danger of the acid and fluids
entering the lungs then the doctor might prescribe surgery for
Acid Reflux. A procedure commonly known as anti-reflux surgery
(or fundoplication) is performed on the esophagus and stomach to
prevent the reflux from occurring. The procedure is especially
useful for those Acid Reflux patients who have also developed a
hiatal hernia. The surgeon pulls down the herniated sac and
stitches it below the diaphragm. Then the opening in the
diaphragm through which the esophagus passes is also tightened.
The surgeon will also make an artificial LES by wrapping the
upper part of the stomach, next to the opening from where the
esophagus enters the stomach, around the lower esophagus. To
perform this surgery the doctor may make an incision in the
abdomen or make small puncture sites in the abdomen (laproscopy)
through which he will pass a small viewing device and surgical
instruments. Laproscopy minises the blood loss from surgery and
the patient recovers mush faster.
A new line of treatment for Acid
Reflux is endoscopy. The advantage of an Endoscopy is that it is
non surgical, and therefore does not require a very long stay in
the hospital. Done under mild sedation, the patients are often
sent home the very same day and can resume normal activities
within a day. Under this procedure a tiny instrument, like a
sewing machine, is attached to a long tube or endoscope which
has a camera attached at its tip. When the endoscope is passed
through the food pipe, with the help of the video camera, the
surgeon places a few stitches near the LES. The stitches tighten
the opening of the LES valve preventing acid reflux. Although it
is a very recent development, doctors are seeing good results
from the procedure.
Acid Reflux surgery is usually very
effective and its results can be felt for upto 10 years. However
many patients may still continue taking anti reflux drugs,
especially if they have developed other complications along with
Acid Reflux.
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