New Jersey General Surgery
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Endocrine
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Reflux Disease [GERD]
Heartburn, or GERD (gastroesophageal reflux disease) is described
as a harsh, burning sensation in the chest which may go down
into the abdomen and up into the throat and neck. Many adults
in the United States experience this uncomfortable, burning sensation
at least once a month. GERD occurs when stomach acids reflux
or "back up" from the stomach into the esophagus.
Some people with GERD are born with a hiatal hernia or a naturally
weak sphincter (LES). If you suffer from GERD your doctor
may have recommended laparoscopic anti-reflux surgery to treat
this condition. Surgery is very effective in treating GERD,
and is usually used for patients who do not respond well to lifestyle
changes or medications, or those who continually require medications
to control their symptoms
Laparoscopic Nissen Fundoplication is an anti-reflux surgery
which reinforces the "valve" between the esophagus
and the stomach by wrapping the upper portion of the stomach
around the lowest portion of the esophagus - much the way a bun
wraps around a hot dog. In a laparoscopic procedure, surgeons
use small incisions (1/4 to 1/2 inch) to enter the abdomen. The
laparoscope, which is connected to a tiny video camera, is inserted
through the small incision, giving the surgeon a magnified view
of the patient's internal organs on a television screen.
The entire operation is performed "inside" after the
abdomen is expanded by inflating gas into it. The advantage of
the laparoscopic approach is that it usually provides:
- reduced postoperative pain
- shorter hospital stay
- a faster return to work
- improved cosmetic result
Excerpted from Society of American Gastrointestinal
Endoscopic Surgeons' Task Force on Patient Information