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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.

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.

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.

Your doctor will assess the severity of your GERD, your anatomy, and your overall health to recommend the most suitable procedure.

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.

Most reflux surgeries take 1-3 hours, depending on the procedure and the complexity of your condition.

Yes, reflux surgery is performed under general anesthesia, meaning you’ll be asleep and pain-free during the procedure.

  • 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.

Laparoscopic surgeries are often outpatient procedures, while more complex surgeries may require a 1-2 day hospital stay.

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.

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

Reflux surgery has a high success rate, with most patients experiencing significant relief from GERD symptoms and reduced dependency on medications.

Many patients can stop or significantly reduce their reliance on acid-reducing medications after surgery, though some may still need occasional treatment.

Most insurance plans cover reflux surgery if it is deemed medically necessary. Verify coverage details with your provider.

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.

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.