If medications like lansoprazole haven’t provided sufficient GERD relief, surgery might be considered. This isn’t a first-line approach, however; it’s reserved for situations where other treatments prove inadequate.
Consider surgery if:
- Medications fail to control symptoms for at least 6-12 months of consistent use. You experience severe complications like bleeding or perforation of the esophagus. You have Barrett’s esophagus, a precancerous condition often linked to severe GERD. Medications cause unacceptable side effects.
Several surgical options exist, each with its own set of benefits and risks. A surgeon will discuss the best procedure for your individual circumstances. These procedures generally aim to strengthen the lower esophageal sphincter (LES), preventing stomach acid reflux.
Fundoplication: This is the most common procedure. The surgeon wraps a portion of the stomach around the LES, tightening it. Linx Reflux Management System: This involves placing a small ring of magnetic beads around the LES. The magnets hold the LES closed, preventing reflux. Stretta Procedure: This minimally invasive procedure uses radiofrequency energy to tighten the LES.
Before considering surgery, you should have a thorough discussion with your gastroenterologist and a surgical specialist. They will assess your condition, medical history, and discuss the potential benefits and risks of each procedure. Post-operative care is vital for successful recovery. Be sure to understand any dietary restrictions or lifestyle modifications necessary to maximize your outcome. Long-term follow-up appointments help monitor your progress and address any potential complications.
