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Anna P. Sobolewski M.D.

What is Reflux?

Gastroesophageal Reflux Disease (GERD) is caused by acid that escapes from the stomach up into the esophagus (the tube that connects your mouth to your stomach). Normally, when food passes from the esophagus to the stomach, it passes through a one-way valve called the lower-esophageal sphincter (LES). The LES opens when you swallow, then closed to keep food from going backwards. With GERD, the LES doesn't work correctly and food and acid wash back (reflux) into the esophagus.

The acid causes heartburn (a burning feeling in the chest), a sour taste in the back of the throat, and difficulty swallowing.

How can I control GERD?

Several lifestyle changes can help reduce the symptoms of GERD.

Avoid eating before bedtime.
Lose weight.
Elevate the head of your bed.
Stop smoking.
Avoid alcohol.

Over the counter antacids are also useful in controlling reflux. If these are not effective, your doctor may need to prescribe stronger medications.

What if lifestyle changes and medications don't work?

Occasionally GERD is so severe that symptoms persist despite medication. Other times, people do not want to to be on life time medication. In these cases, a surgical procedure called a laparoscopic fundoplication can provide relief.

What is a laparoscopic fundoplication?

A laparoscopic fundoplication (sometimes called a Nissen) is a surgery that recreates the LES by wrapping the top of the stomach around the esophagus. This prevents acid from backwashing into the esophagus. Laparoscopic surgery is performed through five small incisions instead of one long incision. As a result, there is less pain, a shorter hospital stay, and quicker recovery.

How do I know if surgery is right for me?

Ask your doctor if a laparoscopic fundoplication should be considered to help control your GERD.