Stephen J. Schueler, M.D.

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Acid Reflux Disease Surgery

Surgery for reflux esophagitis may be performed in patients who fail to respond to treatment with medication.

Surgical procedures for reflux esophagitis include:

  • Laparoscopic fundoplication:
    • Minimally invasive surgery: performed using laparoscopy
    • This procedure tightens the lower esophageal sphincter, allowing this valve to keep stomach acid where it belongs.
    • Over 90 percent of people having this procedure have satisfactory results.
  • Endoscopic fundoplication:
    • Involves using tiny stitches to tighten the lower esophagus.
    • This operation may be performed from inside the esophagus using an endoscope.
  • Endoscopic radiofrequency ablation:
    • Also known as the Stretta procedure
    • May be performed as outpatient surgery
    • May be performed in as little as 45 minutes using conscious sedation
    • Lower incidence of side effects as compared to other anti-reflux surgery.
    • Uses a radiofrequency probe placed inside the esophagus by a procedure that is identical to upper GI endoscopy.
    • Like a microwave, this device heats the tissues of the valve, causing them to scar and close tighter.

Continue to Acid Reflux Disease Home Care

Last Updated: Jan 3, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Acid Reflux Disease References
  1. Fraser A, Delaney B, Moayyedi P. Symptom-based outcome measures for dyspepsia and GERD trials: a systematic review. Am J Gastroenterol. 2005 Feb;100(2):442-52. [15667506]
  2. Kahrilas PJ. Review article: is stringent control of gastric pH useful and practical in GERD? Aliment Pharmacol Ther. 2004 Oct;20 Suppl 5:89-94. [15456470]
  3. Tytgat GN. Review article: treatment of mild and severe cases of GERD. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:73-8. [12047264]
  4. Vakil N. Review article: cost-effectiveness of different GERD management strategies. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:79-82. [12047265]
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