What is reflux surgery?
Reflux surgery, also known as anti-reflux surgery, is a procedure designed to treat gastroesophageal reflux disease (GERD). It aims to prevent stomach acid and food from flowing back into the esophagus, alleviating symptoms like heartburn, regurgitation, and damage to the esophagus.
Who is a candidate for reflux surgery?
Reflux surgery may be recommended for people who:
- Have severe GERD that doesn’t respond to medication or lifestyle changes.
- Prefer a long-term solution instead of lifelong medication.
What are the types of reflux surgery?
Surgery may be recommended to:
- Nissen Fundoplication: The upper part of the stomach is wrapped around the lower esophagus to strengthen the lower esophageal sphincter (LES).
- Laparoscopic Fundoplication: A minimally invasive version of fundoplication using small incisions.
- LINX Procedure: A ring of magnetic beads is implanted around the LES to prevent acid reflux while allowing food to pass.
- Endoscopic Procedures: Non-surgical options like transoral incisionless fundoplication (TIF) for mild to moderate GERD.
How do I know which procedure is right for me?
Your doctor will assess the severity of your GERD, your anatomy, and your overall health to recommend the most suitable procedure.
How do I prepare for reflux surgery?
Preparation typically includes:
- Diagnostic tests like endoscopy, pH monitoring, or manometry.
- Fasting for 6-12 hours before surgery.
- Adjusting or stopping certain medications as advised by your doctor.
How long does reflux surgery take?
Most reflux surgeries take 1-3 hours, depending on the procedure and the complexity of your condition.
Will I need anesthesia?
Yes, reflux surgery is performed under general anesthesia, meaning you’ll be asleep and pain-free during the procedure.
How long does recovery take?
- Laparoscopic procedures: Recovery typically takes 1-2 weeks for light activities and 4-6 weeks for more strenuous activities.
- Open surgery (if necessary): Recovery may take 6-8 weeks.
Will I need to stay in the hospital?
Laparoscopic surgeries are often outpatient procedures, while more complex surgeries may require a 1-2 day hospital stay.
What dietary changes are required during recovery?
You’ll need to follow a soft or liquid diet for several weeks, gradually reintroducing solid foods. Avoid spicy, acidic, or fatty foods that can irritate the esophagus.
What are the risks of reflux surgery?
While generally safe, risks include:
- Difficulty swallowing (dysphagia)
- Gas-bloat syndrome (inability to burp or pass gas easily)
- Infection or bleeding
- Recurrence of GERD symptoms
How effective is reflux surgery?
Reflux surgery has a high success rate, with most patients experiencing significant relief from GERD symptoms and reduced dependency on medications.
Will I still need to take medications after surgery?
Many patients can stop or significantly reduce their reliance on acid-reducing medications after surgery, though some may still need occasional treatment.
Does insurance cover reflux surgery?
Most insurance plans cover reflux surgery if it is deemed medically necessary. Verify coverage details with your provider.
Can GERD come back after surgery?
While surgery provides long-term relief for many, GERD symptoms can recur in some cases. Maintaining a healthy diet and weight can help prevent recurrence.
How do I know if reflux surgery is right for me?
Consult with a gastroenterologist and surgeon to evaluate your symptoms, test results, and treatment history to determine if surgery is the best option.
For further information or to schedule a consultation, contact your healthcare provider.