Gastroesophageal reflux disease (GERD) affects millions of Americans, causing symptoms such as chronic heartburn, regurgitation, chest pain, and difficulty swallowing. While lifestyle changes and medications provide relief for many patients, those with persistent or severe symptoms may benefit from surgical intervention.
When Medication Is Not Enough
Proton pump inhibitors (PPIs) and other acid-reducing medications are the first line of treatment for GERD. However, some patients continue to experience symptoms despite maximum medical therapy. Long-term PPI use has also been associated with potential side effects including nutrient deficiencies, kidney concerns, and increased infection risk. For these patients, anti-reflux surgery offers a durable, medication-free solution.
Anti-Reflux Surgical Options
The most established surgical treatment for GERD is laparoscopic Nissen fundoplication, in which the upper portion of the stomach is wrapped around the lower esophageal sphincter to strengthen the valve and prevent acid from flowing back into the esophagus. This procedure has a proven track record of long-term success, with most patients achieving complete resolution of reflux symptoms.
Other surgical options include partial fundoplication procedures such as the Toupet and Dor techniques, which may be appropriate for patients with specific esophageal motility concerns. Additionally, the LINX Reflux Management System, a small band of magnetic beads placed around the esophageal sphincter, offers a newer alternative that preserves the ability to belch and vomit while effectively preventing reflux.
Minimally Invasive Approach
At MISH Hospital, our surgeons perform anti-reflux procedures using minimally invasive laparoscopic techniques. These approaches result in smaller incisions, reduced post-operative discomfort, shorter hospital stays, and faster return to daily activities compared to open surgery. Most patients go home within one to two days and resume normal activities within two to four weeks.
If chronic acid reflux is affecting your quality of life and medications are not providing adequate relief, contact MISH Hospital in Lenexa, Kansas at (913) 322-7408 to discuss surgical options with our experienced team.