Can you Have SURGERY for GERD (Anti-Reflux Surgery)?

Рет қаралды 10,710

Жыл бұрын

Before having anti-reflux surgery, it is important to be sure that you actually have GERD. The symptoms of GERD are very common and can be caused by many other problems. So how do GI doctors decide whether you have GERD? We can run a number of tests to determine if you have GERD and if surgery will help your symptoms.
An upper endoscopy (EGD) looks for evidence of severe reflux. A wireless endoscopic device or a nasal endoscopic catheter both measure the acid level in the esophagus. The catheter also allow us to conduct an additional test called Impedance Testing, which can detect non-acidic reflux. Esophageal Manometry evaluates the function of the esophagus and the lower esophageal sphincter (LES). An Esophagram looks at the length of the esophagus, how far reflux travels up the esophagus, and may note unexpected findings, which is all helpful for surgical planning. Finally, a Gastric Emptying Study measures how long the stomach takes to empty.
I also discuss how the results of these tests tells doctors which patients are good candidates for the anti-reflux surgery and which patients shouldn't get the surgery and the reasons why.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.

Пікірлер: 57

@mrmoneyhacks5480 6 ай бұрын

Here in Australia we can't get any of these tests or treatments, but at least the GP visits are free. He's a nice guy. Doesn't know how to fix anything, and just laughs if I ask if there's anyone I can be referred to, but he's a nice guy.

@MarkCooperMD 6 ай бұрын

Sounds not very helpful

@mrmoneyhacks5480 6 ай бұрын

@@MarkCooperMD Is there a good country that knows how to deal with this that isn't too expensive? Thailand or Turkey, for example?

@MarkCooperMD 6 ай бұрын

I don’t know much about their systems to say. I would think Australia has good service in the major cities. Their academic centers are good.

@murimurimrui 6 ай бұрын

I would look at malaysia/singapore for treatment. The public health care is the worse when you actually need help. They only help you when you're worth saving from death's doorstep.

@ninabambinabambina2304 2 ай бұрын

Yes Ireland is the same. You can be waiting a year to see a Gastroenterologist.

@petterlucky5625 Жыл бұрын

What is oesophagus Hill Gr II

@sarahrichards6982 2 ай бұрын

Hello , i have an appointment coming to talk to my doctor about getting surgery for my acid reflux ( GERD) I've been suffer from horrible acid reflux since i was 15 and now I'm 34 and it's alot worse to where it gets so bad i have to go to the ER for relief i live off of omeprazole and over the counter acid reducers and neither are helping me i had a gastric bypass done in 2020 because my doctor said it would cure my acid reflux wrong it only made it worse , i don't wanna live with constant pain i want relief and to live normal

@user-oq5id3dz5s 9 ай бұрын

are u preparing a surgery for gerd or lpr

@rtcredeemed521 Жыл бұрын

Hi! My body has gone through a lot!! I had always been very dedicated to my body. I've never been overweight until recently. In my 30s, I was around 130 pounds now in my 50, I'm 150 pounds. First got diagestive issues when I moved to the USA. After living 3 years here, I contracted H. pilory. Then, ten years later, I started having issues with heartburn, and food would go to my mouth. The doctor found a hiatal hernia that measured 2 cm. I didn't know better, so I went under the knife. Then, 6 years later, the doctor found one gallstone that measured 2 cm, and they removed my gallbladder.😢 The reason they also got gallbladder out is because Bile was moving to my stomach. I was having bile and acid reflex. Then, symptoms went away, but I remained feeling bloated after meals. Since then, I developed IBS symptoms, and just a few weeks ago, I started having heartburn again. 😫 I have avoided sugar for many years. I've tried keto, but the diet makes me have loose stools. I have done fasting, but symptoms don't change. I saw a gastroenterologist last week, and he prescribed an acid blocker, but symptoms are not changing. The fact is, I told him that my right side was hurting, and he didn't say anything. Instead, he wanted me to get a colonoscopy!! Why????? I just recently had a colonguard test, and it came negative. If you tell a doctor about your symptoms and you get an upper respiratory infection because of the acid, how the acid blockers are going to resolve the problem? Why want to do a colonoscopy when right now my problem is at the other end?!!!!😵‍💫 I have tried to eat more meat than vegetables, and all I get is diarrhea, with lots of bile, and sometimes I get constipated too. It is so hard to follow a diet, especially when your liver is not working properly and there's not a gallbladder to regulate bile. I sincerely regret both surgeries, but I didn't know better, I just wanted to get rid of the symptoms.....and I did, but not for very long. Today, I'm very discouraged, and I don't know who to trust. I don't even know if I can trust everything I watched on KZfaq or the diets......I have tried everything. Did I mention that I'm 51 years old and that I have menopause symptoms as well? Yeap!!! So. I get hot flashes, insomnia, and heart palpitations. I don't know which direction to go. I'm lost and frustrated.

@frankcastle3827 Жыл бұрын

Dang, thanks for sharing, doctors suck! He told me I could take meds for the rest of my life or get sergury for a small hernia that's causing my gerd... He said gerd goes away after sergury, but your case sounds fucked up..

@rtcredeemed521 Жыл бұрын

Hi! I'm sorry to hear that you are feeling sick, too! I just learned that the reason I'm having acid reflux and gastritis, it's because I have a bacteria called H. Pylori. So, even though I got my hiatal hernia fixed, my symptoms won't go away until I get the bacteria eradicated. The surgery really works, but it can't do anything good if I have the infection.

@frankcastle3827 Жыл бұрын

@@rtcredeemed521 oh shit ok I get you, yea I had a stomach infection too at the beginning of the year, I was puking and vomiting blood but then I took antibiotics and it stopped, then I found out I had gerd, I never felt heartburn or pain of any kind... But they found a small hernia tho... But I honestly feel ok honestly... But still kinda sucks! I'm sorry you feel that way man but at least now you know what's been going on with you tho

@rodrigobalibalita12 8 ай бұрын

If you are bothered by acid reflux or hyper-acidity, try eating red apple delicious or Fuji apple for a few days and it will go away. It is based on our experience. It worked and the problem never came back.

@rodrigobalibalita12 8 ай бұрын

@@frankcastle3827 For acid reflux try eating red apple delicious or Fuji apple for a few days and it will go away. It worked for me, my wife and some of our friends and the problem never came back.

@salmazafar1639 5 ай бұрын

I have gone through gerd surgery almost a year ago , and after a year I am feeling the same symptoms.

@Victor-vf1fi 4 ай бұрын

Was it the LINX procedure? Thank you

@salmazafar1639 4 ай бұрын

@@Victor-vf1fi no it was fundoplication surgery

@Victor-vf1fi 4 ай бұрын

@@salmazafar1639 sorry to hear, I don't know what the solution could be. I'm also in pain and reading about RefluxStop surgery but it's very new.

@driveestudos1024 2 ай бұрын

@@salmazafar1639How old are you??? I'm 20 years old and I'm suffering from this condition here in Brazil. I'm seriously thinking about having this surgery if no treatment works.

@salmazafar1639 2 ай бұрын

@@driveestudos1024 I am 38 Better to have exercise and controlled diet. If you go through this surgery then follow food diet for atleast 1 year . It was fundoplication surgery

@tinapennington1587 9 ай бұрын

I was unable to make it thru the esophageal manometry test. Is their something else or another way of testing to get the results? My doctor won’t go any further until he has those results.

@peterswires8439 3 ай бұрын

There's a new procedure called RefluxStop that is especially for people with weak oesophageal motility. Check it out.

@ItalianaBella333 Ай бұрын

Have you had a barium swallow esophagram done

@tinapennington1587 Ай бұрын

@@ItalianaBella333 no, it sounds painful 😣

@ItalianaBella333 Ай бұрын

Haha it does sound painful but isn't, I just had it. It was super easy all I had to do was swallow something and then it's like an X-ray they can see inside you and then swallow a few sips of barium. Super easy. They were able to determine I had hiatal hernia and it showed alot of reflux. @@tinapennington1587

@netkotreci3135 6 ай бұрын

I need your opininion please. I have GERD, constant heartburn even if I eat very alcaline food. Now I am on PPIs, but I know that when I stop taking PPIs, the symptoms back and I believe you know that PPIs are not the solution. Taking PPIs for long term causes a lot of damage. So for me I only see anti-reflux surgery as only solution. I dont have hiatal hernia, just cardia LES insuficiency. And if dont take the medication for GERD, acid will burn my food pipe and can lead to more serious complications. I am 31 now. Would you recommend a surgery to someone like me?

@MarkCooperMD 6 ай бұрын

The best I know from study after study and meta analysis of those studies is that there is no convincing substantial harm that is typical of long term use of PPIs. From experience I see people do well with them, which seems to be your experience when taking them. Also from experience I see people have complications of surgery. If I got good results from a PPI I would continue them. I’ll defer your decision to you and your doctor but I hope that helps some.

@netkotreci3135 6 ай бұрын

@@MarkCooperMD thanks for your answer. I respect your opinion, but considering the PPIs I disagree. Now I take them for 2 months and soon I am off of them. In this period by taking PPIs (Ares 20 mg and month later 10 mg one tablet per day) I don't feel heartburn, but I often burp and I feel non acidic reflux. The more important thing is cause of the PPIs my stool is undigested, so minrelas and vitamins and other nutrients don't come in blood. GERD is a disease from hell, but stomach isn't "constructed" to be alcaline, and our guts isn't there to have undigested food.

@MarkCooperMD 6 ай бұрын

Stomach Acid isn’t the sole mechanism by which the body digests and absorbs food. That’d be a bad design to have a single fail point. Fiber is supposed to be undigested-that’s the whole point. PPIs don’t cause our stomach to be alkaline but less acidic.

@netkotreci3135 6 ай бұрын

Ok. But why is there risk of hip fracture or lumbal spine fracture after taking PPIs after one year. In my blood test I made 3 days ago I have iron, calcium,...and other nutrients in not so good level. They are not in insuficiency bit it would be soon. I know that after stoping taking PPIs heartburn will return.@@MarkCooperMD

@MarkCooperMD 6 ай бұрын

Higher quality studies refute the concerns you raise that the media sensationalized. Check other videos out.

@r2kgaming118 6 ай бұрын

Sir my les valv is loos ( grade 2 ) i need surgey ? I am from India

@MarkCooperMD 6 ай бұрын

All depends on your symptoms and whether they can be controlled with meds and lifestyle to a satisfactory degree.

@r2kgaming118 6 ай бұрын

Sir can I play cricket and daily workout ?

@ChildofGodforevr 8 ай бұрын

I have GERD but still the Dr wouldn’t do surgery

@rodrigobalibalita12 8 ай бұрын

Try eating red apple delicious or Fuji apples for a few days and you'll get rid of the problem. It worked for me, my wife and some of our friends and the problem never came back.

@frankcastle3827 Жыл бұрын

My doctor said there's no cure for gerd and only surgery can fix it...

@Nikosakii Жыл бұрын

They lied to you.

@frankcastle3827 Жыл бұрын

@@Nikosakii what would you recommend for me to do?

@rtcredeemed521 Жыл бұрын

I will look for a natural way to deal with it. After my surgery I learned that a chiropractor can help you with small hiatal hernia.

@frankcastle3827 Жыл бұрын

@@rtcredeemed521 oh no way, that's pretty cool, ima go see one soon and ask him. Its funny I have "gerd" but I have 0 symptoms.... Please let me know what happens if you do.

@rtcredeemed521 Жыл бұрын

Well. I can't go to a chiropractor and do it. I got my hiatal hernia fixed 8 years ago. I already got the surgery. So. It would not work for me. But you can try, since you haven't had the surgery done yet. If you were diagnosed with Gerd and you don't have symptoms, why are you looking for a remedy?