Nonsurgical acid reflux therapies work: U.S. study

NewYork-Presbyterian/Columbia

This condition occurs when the contents of the stomach, including stomach acid, leak back into the esophagus. Gastroesophageal reflux disease (GERD) is a digestive disorder that affects the lower esophageal sphincter (the muscular ring connecting the esophagus with the stomach).

Transoral fundoplication is designed to treat the symptoms of GERD, while minimizing post-operative side effects such as dysphagia, gas bloat, and flatulence. The success of the TIF procedure can be traced to its foundation in the established principles of traditional antireflux surgery [1-4] . During a TIF procedure, the patient is placed under general anesthesia so that the EsophyX device, used with a flexible endoscope, can be gently introduced into the stomach under constant visualization. The endoscope and the device are retroflexed and a helical retractor is engaged into the tissue slightly distal to the Z line. The fundus of the stomach is folded up and around the distal esophagus utilizing the tissue mold and chassis of the device.

In terms of operatively placed devices, the esopha-geal sphincter device (LINX Reflux Management System, Torax Medical) has shown some promise, and good early results have been published. This device consists of a ring of magnets placed around the lower esophagus laparoscopically, allowing food boluses to pass into the stomach, but preventing acid reflux from the stomach into the esophagus. However, this device requires general anesthesia and has the same reimbursement problems as endoluminal devices.

Related to Heartburn / GERD

Buttermilk contains lactic acid that normalizes acidity in the stomach. A number of options, both surgical and nonsurgical are available for the treatment gastroesophageal reflux.

If you are faced with the need to confirm a diagnosis for Barrett’s Esophagus, or if you have Barrett’s Esophagus and wonder whether optical biopsy can enhance your surveillance and/or treatment, ask your physician about the procedure using Cellvizio. As a physician examines a patient’s esophageal tissue using Cellvizio optical biopsy to check for Barrett’s Esophagus or dysplasia within Barrett’s Esophagus, he or she is provided with real-time images that can help determine whether or not cancer is present at that time. This way, trained physicians are able to make faster evaluations, which have the potential to result in quicker treatment of Barrett’s Esophagus and associated problems. The experts at the Minnesota Heartburn & Reflux Treatment Center can inform you about the benefits and risk of each procedure as you evaluate surgical alternatives.

The upper part of the stomach is wrapped around the outside of the lower esophagus to strengthen the sphincter. Untreated GERD can develop into a condition called Barrett’s esophagus. This condition increases the risk of esophageal cancer. However, esophageal cancer is rare, even in people with Barrett’s. Medications that block acid production and heal the esophagus.

acid reflux nonsurgical

Nonmedical Treatment of Gastroesophageal Reflux Disease

We offer the comprehensive testing to confirm the diagnosis of acid reflux and make sure these medications provide maximal benefit. However, most of our patients need something more. Usually, medications are initiated. Medications work by decreasing acid in the stomach thereby eliminating or improving reflux symptoms.

Acid reflux returns more than 80 percent of the time when people stop taking the medications. “Surgery is still the most effective treatment in people who don’t have relief with medications. But this study shows that this therapy without surgery is a viable option in patients who either can’t have surgery or don’t want surgery,” Jeansonne added.

Seek immediate medical care if you have chest pain, especially if you also have shortness of breath, or jaw or arm pain. These may be signs and symptoms of a heart attack.

acid reflux nonsurgical
acid reflux nonsurgical

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