Anti-Reflux Surgery
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- Опубликовано: 15 окт 2023
- Do you have Acid Reflux (GERD) and are thinking about having surgery? That is called an Anti-Reflux surgery. In this video, I discuss the different types of Anti-Reflux surgeries and their potential complications.
Medications are the first line therapy for Acid Reflux (GERD). However, some patients do not respond well to medications, so at that point it is time to consider surgery.
What is Anti-Reflux surgery? The standard surgery is called a Nissen Fundoplication. In this video, I talk about what this surgery involves. There will be esophageal swelling after the surgery. How long should that last? This inflammation can lead to difficulty swallowing (Dysphagia). To avoid Dysphagia, a motility study may be preformed ahead of surgery, to make sure the esophagus is working properly.
Another complication of Anti-Reflux surgery is gas bloat. This is when gas cannot be released from your stomach as a burp, and worse, you may struggle to vomit when your body needs to during an illness.
What can be done if these complications occur? Typically, a dilation can be preformed, which will loosen the wrap.
Are there any other types of surgeries that can be preformed? Yes, there are and I discuss them in this video.
What are the complications of abdominal surgery? What are the general complications of any surgery?
Also, find out how long these surgeries typically last for and when they may need to be revised.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
Just what i was looking for!
Luckily I don't suffer from Acid Reflux, which is a very common digestive issue. It's important for us to know, what are the causes of Acid Reflux, what is the best treatment option for it (medication or surgery), how the recovery will be after surgery and what diet and lifestyle changes are needed! Thanks for the very helpful video Dr. Mark!❤👍
30 years of PPIs. I can't go a day with out them. i started with Omeprezole in the early 90's and worked through all the developments until I finally found Dexalant and finally have that 1 pill a day relief. i have waited so long for the "goldielocks" surgery but it never comes. I was so excited when I learned of TIF but it is just a less invasive version of the Nissin. I am so exhausted! Thanks for this video though it was concise, I also appreciated part 1 of your long term PPI use video as it makes me feel a bit better about my long term use.
How are you feeling right now?
Hi do u think the tif process might not work? What do u think can be the problem for tiff? I HH and suffering from nausea, small pain middle and cloud like dizziness.
I would discuss linx versus partial fundoplication with a qualified surgeon with experience in performing both. A member of the American foregut society is a plus.
Thoughts on the LINX?
Can you do video on nissen revision surgery and other options
Gerd is horrible , Many symptoms, Surgery is the only way. It can be managed with retrictive diet, But to live quality life surgery is necessary Laproscopy fundoplication
Interesting. Now I don't know what to do. Scheduled for "partial" fundoplication in Nov.
I would review with your GI doctor and surgeon as there are nuances to the surgery that require a full understanding of your specific symptoms. A good surgeon is good because they start by selecting the right patients for surgery, they have good technique, and have the humility and experience to manage complications.
I can't gain weight I'm miserable I really hope this helps me 😢
Have you seen the reflux stop procedure?
Promising new technology but it is a little early. We don't have long term data yet. Has not made it to the US as of the time of this message. There are other good treatments available right now however. Seek out an experienced anti-reflex surgeon.
Dr. Cooper I have Barrett's. Few weeks ago I had the radiofrequency ablation. It kicked off me having esophagus spasms. If I have a ctif done can that too cause spasms. Would I be someone more susceptible to dysphasia? I need to know what I'd be getting into. Thank you very much.
I have Barrett’s too just diagnosed and since my endoscopy spasms started. I don’t have them until after the endoscopy.
I had diagnosed with acid reflux and had laparoscopic fundoplication surgery, but after a year i am again feeling the symptoms of vomiting, heartburn, and feeling difficult to eat and drink anything. Kindly guide what should i do now?
Need a comprehensive workup and likely revisional surgery. Need to seek out a GI and surgeon who are experienced in revisions.
Appreciate your video. Might do the ctif surgery this coming January, but I am very scared am I going from the pan into the fire. Scared of the bloating and not being able to swallow. I just don't know what to do. I do have barrett's. I am 72 yrs old. any more thoughts about it I sure would appreciate them. Thank you.
Instead of a 360 degree wrap you could get a 270 wrap
Good suggestion. Thank you.@@77oxf
What do you do if Dr pulled you off meds says meds are to much danger taking them long term.
Depends on the Med and where you live.
What should i do....i have been diagnosed with esophagitis grade d and i cant swallow it makes me throw up and now blood comes out....
How u feeling now friend? Hope everything is well? Any recommendations for gerd
@@alexlabra1562 well i healed to a grade 1 after my last endoscopy and since ive kinda got off the diet i was recommended but i dont seem to be getting reflux and when i do seems super mild.....playing it by ear i suppose
You need an upper endoscopy and a GERD workup.
You probably need surgery. Seek out an experienced anti-reflex surgeon.
The surgeon back in Missouri said if meds help them surgery will help
But meds don’t help then surgery is not a option
I'm still considering it because I have a habit of forgetting to take my medication at least twice a week.
Better take it if it helps better then surgery, forgetting medication is not an excuse for a risqué surgery if medicine doesn’t help you should consider surgery
@@brinkydebink1257 I've gotten better with taking it. I actually have to have it in the bedroom the new to remember
Been diagnosed with hiatus hernia suffering pain constantly for the past year.. medication isn’t helping me at all
Need to seek out an experienced anti-reflex surgeon.
@@colindunn4035 been on all sorts of medications for the past 16 months. Finally being referred to a gastroenterologist but waiting times in the uk are outrageous. My work are trying to arrange a private consultation and willing to pay for my treatment so hopefully can get some type of relief soon.
What is better Nissan or Ctif? Thank you.
There’s pros and cons of each. CTIF works quite well but may not be as readily available. Being less invasive TIF is definitely an attractive option.
I really appreciate your reply. I am able to get a Ctif in my area. Thank you.
It's an incomplete answer. Read my paper "understanding the GERD barrier". There is a reason why TIF has not caught on after being available for many years, and cTIF is just as invasive as a fundoplication. Talk to your surgeon about a partial fundoplication.
Certainly YT answers are incomplete. Reviewing your summary I appreciate your description of the pathophysiology which I try to convey here - LES + CD malfunction equals reflux. Sensitivity and susceptibility of the esophagus is another key part of the equation to define GERD. Thanks for watching Dr. Dunn.
For eligible patients prepared to undergo surgery and lucky to find a qualified surgeon I think the partial wrap is great.
But this surgeon my surgeon fixed mine
I was healed
Then after a year it came loose
Soon after that my esophagus bleed 🩸
Then procedure after procedure tests after tests
Went to doctor thamert who has done a thousand of the surgeries
When I went to him thought he would rewrap it
He rejected 🙅🏻 it no surgery
But will Michael need surgery in the future
Yes
But by the time they want to do it no surgery out of discussion
He is going to wait to were it is impossible and surgery will not help