Are You a Candidate for Antireflux Surgery?
Are You a Candidate for Antireflux Surgery?
Why It Matters
For those struggling with persistent GERD symptoms, surgical options might offer relief where medications fall short.
Contents
When Medicine Isn’t Enough
Some patients continue to experience GERD symptoms despite optimal medical therapy. These individuals might consider surgery, particularly when lifestyle changes and medications are ineffective. Surgery may also be an option for those who cannot tolerate or prefer not to take medications long-term.
Surgical Options Available
Various procedures aim to restore the function of the lower esophageal sphincter (LES), such as Nissen fundoplication or magnetic sphincter augmentation. Each procedure has different benefits and risks, and the choice often depends on individual patient needs and surgeon expertise.
Understanding Risks and Benefits
Surgery can significantly improve symptoms for many, but it comes with potential complications like dysphagia or gas bloat syndrome. Discussing all possible outcomes with a healthcare provider is crucial before making a decision.
FAQs
When is surgery considered?
Surgery is considered when GERD symptoms persist despite medication.
What surgical options exist?
Options include Nissen fundoplication and magnetic sphincter augmentation.
Are there risks?
Yes, potential risks include dysphagia and gas bloat syndrome.
Who is surgery for?
Surgery is for those who can't tolerate or don't want long-term medications.
Key Takeaways
Surgery can be a viable option for persistent GERD, but it requires careful consideration and discussion with a doctor.
Additional References
- Yadlapati R, Vaezi MF, Vela MF, et al. Management options for patients with GERD and persistent symptoms on proton pump inhibitors: recommendations from an expert panel. Am J Gastroenterol 2018; 113:980.
- Slater BJ, Dirks RC, McKinley SK, et al. SAGES guidelines for the surgical treatment of gastroesophageal reflux (GERD). Surg Endosc 2021; 35:4903.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.