Surgery for “Heartburn”
If a person feels “Heartburn,” ranging from moderate to severe, it is recommended to undergo the treatment of Laparoscopic Antireflux Surgery, as advised by a surgeon doctor. This piece of writing will expound the medical condition of GERD, its potential causes, the procedural tediousness of the surgery along with its anticipated results, and patient expectations when they choose Laparoscopic Surgery as well as its treatment.
An Overview of Gastroesophageal Reflux Disease
Even though “Heartburn” is used to spell out an array of digestive issues, it is symptomized as a condition of Gastroesophageal Reflux disease. In this prevailing condition, stomach acid goes back into the tube, known as the esophagus. This acid can create the irritation of the lining of the esophagus, resulting in the condition of GERD.
A harsh and burning sensation in the area placed in between ribs or just below the neck symptomizes as heartburn. It is felt through the chest and into the throat and neck. Other symptoms of this sensation are vomiting, regurgitation, the persistent problems in swallowing, or chronic coughing or wheezing.
According to a survey, many adult Americans in the United States of America encounter this burning sensation at least once a month.
Potential Reason for GERD
Through the process of eating, food reaches the stomach from the mouth, passing through the esophagus. At the lower end of the esophagus, there is a ring-like muscle, which is known as the lower esophageal sphincter (LES). It functions as a one-way valve, permitting the food to go through the stomach and closes promptly after swallowing to prevent back-up of the stomach juices. This stomach juice comprises of the high acid content into the esophagus. The GERD condition happens to occur when the LES function becomes upset, or doesn’t function properly, allowing acid to come back and upset the lower esophagus. The failure of the LES function irritates the passage of the esophagus, causing heartburn and eventually damaging the esophagus. Changes in the types of cells in the lining of the lower esophagus have been observed in a couple of patients who develop an esophageal condition. This condition is also known as Barrett’s esophagus. This persistence of this condition prompts the risk of developing cancer of the esophagus.
Contributors to GERD
At birth, many people default with a naturally weak sphincter (LES). Others have a habit of eating junkie and spicy food on a regular basis, taking certain types of medication, smoking, consuming excessive alcohol in various forms, exercising vigorously or changing in body posture such as bending over or lying down. These are various reasons for reflux. Many patients suffering from GERD also develop hiatal hernia. A hiatal hernia is a medical condition wherein the upper segment of the stomach forces up through the diaphragm and into the region of the chest. The diaphragm is a large muscle that is placed between the abdomen and chest. This phenomenon acts as an active medium for the development of acid influx. GERD, along with hiatal hernia, are operated simultaneously.
Medical and Surgical Treatment Options
- Changes in Lifestyle: In numerous cases, replacing a more nutritious diet from fatty and spicy edible materials can reduce the severance and harshness of this disease. Losing weight, giving up or lessening smoking and alcohol, and correcting the sleeping patterns can help reach results.
- Drug Therapy: If the problem persists, regardless of the changes in lifestyle, drug medication is the next step. Antacids are to be used in the pursuit of neutralizing the stomach acids, and over-the-counter medications help lessen the already produced amount of stomach acids. This form of therapy will be effective in healing the disease. However, prescriptive medication may be more effective in healing the irritation of the esophageal condition. Your doctor and your surgeon should be your point of contact when considering this therapy.
- Surgery: Many patients who are non-responsive despite lifestyle changes and medications undergo a surgical treatment. Surgery is the most effective and corrective course of action in treating GERD patients. The most common surgery to treat GERD patients is fundoplication, usually named as a Nissen fundoplication. This procedure was named after the surgeon who pioneered the operational procedure in the late 1950s. A fundoplication operation comprises of repairing hiatal hernia in case of its presence and wrapping up the top part of the stomach around the end of the esophagus. It paves the way to help the lower esophageal sphincter by recreating the one-way valve in order to prevent acid reflux. This procedure can be executed in two different ways:
- Using a long incision over the region of the upper abdomen
- Using several small incisions by utilizing the invasive techniques known as laparoscopic surgery