Reflux Disease [GERD]
Reflux Disease [GERD]
Heartburn, or GERD (gastro esophageal reflux disease) is described as a harsh, burning sensation in the chest which may go down into the abdomen and up into the throat and neck. Many adults in the United States experience this uncomfortable, burning sensation at least once a month. GERD occurs when stomach acids reflux or "back up" from the stomach into the esophagus.
Some people with GERD are born with a hiatal hernia or a naturally weak sphincter (LES). If you suffer from GERD your doctor may have recommended laparoscopic anti-reflux surgery to treat this condition. Surgery is very effective in treating GERD, and is usually used for patients who do not respond well to lifestyle changes or medications, or those who continually require medications to control their symptoms
Laparoscopic Nissen Fundoplication
Laparoscopic Nissen Fundoplication is an anti-reflux surgery which reinforces the "valve" between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus - much the way a bun wraps around a hot dog. In a laparoscopic procedure, surgeons use small incisions (1/4 to 1/2 inch) to enter the abdomen. The laparoscope, which is connected to a tiny video camera, is inserted through the small incision, giving the surgeon a magnified view of the patient's internal organs on a television screen.
The entire operation is performed "inside" after the abdomen is expanded by inflating gas into it. The advantage of the laparoscopic approach is that it usually provides:
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reduced postoperative pain
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shorter hospital stay
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a faster return to work
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improved cosmetic result
Excerpted from Society of American Gastrointestinal Endoscopic
Surgeons' Task Force on Patient Information
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