How is GERD Treated?
There are generally progressive steps in the treatment of GERD
- Lifestyle changes – Many times, the symptoms of GERD can be reduced by making changes in habits or diet. Weight loss, smoking cessation, decreasing alcohol consumption, dietary modifications and changing sleep habits can help decrease the symptoms.
- Pharmacotherapy – There are various medications designed to help decrease the symptoms of GERD. Medications such as antacids can help neutralize stomach acid. There are multiple medications available which block the secretion of stomach acid. These can be obtained over the counter and by prescription. This therapy will need to be discussed with your doctor.
- Surgery – Anti-reflux surgery is generally recommended for patients who do not respond well to lifestyle changes or medications, have recurrent symptoms after their medication is stopped, or who are unable to come off their medications. It can also be an option if patients are unwilling to stay on long-term medications or if significant damage to the esophagus has already occurred.
There are now numerous published articles showing surgery to be superior to medication in the treatment of gastro-esophageal reflux disease. Surgery has been shown to provide long-term relief of symptoms in approximately 96% of patients. It is felt to be the superior treatment in many instances such as Barrett’s esophagus. Patients are generally evaluated using a combination of upper endoscopy, 24-hour pH studies, manometry and barium X-rays. We will be happy to talk to you further to see if you are a candidate for a laparoscopic fundoplication for reflux disease.
In most cases, a procedure called a fundoplication is performed to correct the gastroesophageal reflux. The upper portion of the stomach (fundus) is wrapped around the lower portion of the esophagus. This is usually a complete placation or wrap and is often called a Nissen fundoplication, although certain individuals may only require a partial fundoplication. The wrap acts to restore the natural antireflux barrier, thereby preventing esophageal acid exposure. The procedure is very effective in preventing reflux and provides long-term relief of symptoms.
This procedure is now routinely performed laparoscopically, using several small incisions instead of one large incision. This allows less pain, smaller scars, and a quicker recovery. Patients are able to go home after surgery and return to their normal activities over the next 1-2 weeks.
Johns Creek Surgery, PC, located in Johns Creek, GA, attracts patients from all over the metro Atlanta area and beyond including Duluth, Alpharetta, Milton, Roswell, Gainesville, Canton, and Marietta, GA. Our board certified surgeons, Dr. Christopher Hart and Dr. William H. Johnson perform medical procedures or surgeries that do not require an overnight stay.