Saturday, February 18, 2012

Who Needs Surgery for Acid Reflux?

Acid reflux is a condition where the contents of the stomach to flow into the esophagus from the stomach and this is due to the weakening of the esophageal sphincter. There are different stages in reflux acid and different classes of drugs are present to deal with them. Depending on the severity of the condition, we recommend surgery as an option. People taking much of PPI or Proton pump inhibitors at least two or three times a day that should opt for acid reflux surgery.

People who have complications of acid reflux as esophageal complications which include conditions such as Barrett's esophagus and bronchial complications, such as asthma and breathing problems can go in surgery. The surgery to treat a wide acid reflux is known as fundoplication. The main reason that this procedure is performed is to increase the pressure on the esophageal sphincter lower which can prevent acid reflux occurs and also for treating hiatal hernia. The surgery can be done in two ways: from open Nissen fundoplication, laparoscopic fundoplication.

The results of both these procedures are very similar and people who have been subjected to these procedures have undergone much relief from acid reflux and have not found much. These procedures not only relieve a person from acid reflux but also eliminate the effects of acid reflux, such as respiratory problems. Patients who suffer from weight problems, rigidities and esophagitis are recommended to go to fundoplication. During this procedure, the upper part of the stomach is tied along the bottom of the esophagus and secure subject below the diaphragm. This procedure strengthens the lower esophageal sphincter which allows and closes its passage to the stomach and creates a valve flat at the beginning of the stomach.

The valve is being over-hyped, when the stomach is full and superposition of factors such as the esophagus and the diaphragm muscle is done to obtain a good result. At least 90% of people who have been subjected to acid reflux surgery have shown good results and it reduces the symptoms of acid reflux. With the help of a laproscope, the surgeon makes small incisions in the abdomen and performs the operations. The procedure is painless and recovery usually takes some time. The procedure has proved to be effective in the long term and has a 96% satisfaction rate.

Normally the gastroentologist and the surgeon working hand in hand during acid reflux surgery and give the patient the recommended options. Tests performed before surgery include endoscopy, esophagus, and sphincter manometry, x-ray and - hour esophageal pH monitoring. These tests can give us a clear idea of how they relate to the conditions for the acid reflux and the need for surgery. Complications due to surgery are very low with the risk factor is 2 to 4%. Thus, people who suffer from acid reflux on a regular basis need contact with a doctor and discuss surgery options for best results.

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