Anti-Reflux Surgery
14 February 2025 –
Ernesto Escobar, MD
Gastroesophageal reflux disease (GERD) is a very common condition worldwide, affecting an estimated 50 to 60% of the population. In some cases, it can be so severe that it leads to pneumonia (lung infection) or esophageal and throat cancer.
Initially, when reflux is mild and there is no hiatal hernia, medical treatment with antacids and dietary changes, including modifying sleeping positions, is usually recommended. However, when these measures fail, surgery is performed.
Initially, when reflux is mild and there is no hiatal hernia, medical treatment with antacids and dietary changes, including modifying sleeping positions, is usually recommended. However, when these measures fail, surgery is performed.
Anti-reflux surgery involves reinforcing the lower esophageal sphincter, which contracts to prevent acid from regurgitating into the esophagus. This is achieved by wrapping the upper portion of the stomach (gastric fundus) around the esophagus, creating a “wrap” known as a “fundoplication.”
There are different types of fundoplication, ranging from complete wraps to partial ones. Several studies are required to determine the appropriate type of surgery for the patient. The surgery is performed using minimally invasive techniques (laparoscopy), which results in small incisions, less pain, reduced bleeding, and quicker recovery.
There are different types of fundoplication, ranging from complete wraps to partial ones. Several studies are required to determine the appropriate type of surgery for the patient. The surgery is performed using minimally invasive techniques (laparoscopy), which results in small incisions, less pain, reduced bleeding, and quicker recovery.
The surgery is performed through minimal invasion (laparoscopy), which involves small incisions, less pain, reduced bleeding, and quick recovery.