The Wellness Way

Surgical and Advanced Treatments for Reflux Disease

Christopher Furlong/GettyImages

Introduction
For some people, lifestyle changes and medications aren’t enough to control gastroesophageal reflux disease (GERD). In such cases, surgical and advanced treatments may be necessary. Here’s an overview of the options available and what to expect.

1. Fundoplication
How It Works: This is the most common surgical procedure for GERD. It involves wrapping the top part of the stomach around the lower esophagus to strengthen the lower esophageal sphincter (LES) and prevent acid reflux.

  • Types: The surgery can be performed as Nissen fundoplication (full wrap) or partial fundoplication. Both types are usually done laparoscopically, meaning smaller incisions and faster recovery.
  • Effectiveness: Fundoplication has a high success rate in reducing or eliminating reflux symptoms. Recovery may take a few weeks, and patients often experience significant improvement in quality of life.

2. LINX Device
What It Is: The LINX device is a small, flexible band of magnetic beads placed around the LES. It reinforces the sphincter while still allowing food to pass into the stomach.

  • Benefits: The procedure is minimally invasive and reversible. Many patients experience relief almost immediately.
  • Considerations: Some people may experience difficulty swallowing initially, but this often improves over time.

3. Transoral Incisionless Fundoplication (TIF)
How It Works: TIF is a less invasive procedure that uses an endoscope to create a valve at the top of the stomach. It strengthens the LES without the need for external incisions.

  • Pros: Quick recovery time and fewer complications compared to traditional surgery.
  • Cons: Not suitable for everyone, particularly those with a large hiatal hernia or severe esophageal damage.

4. Stretta Procedure
What It Is: Stretta uses radiofrequency energy to strengthen the LES by promoting muscle tightening. It’s a non-surgical, outpatient procedure done through an endoscope.

  • Effectiveness: Results vary, but many patients experience significant symptom reduction for several years.
  • Risks: Side effects can include sore throat or difficulty swallowing, but these are typically short-lived.

ConclusionSurgical and advanced treatments for reflux disease offer hope for patients who don’t respond to conventional therapies. Discuss these options with a gastroenterologist to determine which procedure is best suited to your condition. Recovery times and outcomes vary, so it’s important to weigh the benefits and risks carefully.