Fundoplication and Gastropexy Surgeries for GERD

When lifestyle changes (changing eating habits, losing weight, eliminating alcohol and caffeine, stopping smoking etc.) and medication fail to reduce unrelenting, prolonged heartburn related to Gastroesophageal Reflux Disease (GERD), your doctor may advise surgery. Further, if you are experiencing asthma, hoarseness, and a persistent cough that doesn’t go away with medication, surgery may be the right option for you. While surgery for GERD doesn’t work for everyone, it is more successful now than ever. Fundoplication, the most common Gastroesophageal Reflux Disease (GERD) surgery, helps 60 to 90 percent of people.

Fundoplication surgery consists of tying the upper portion of the stomach, which is called the fundus, around the esophagus to completely encircle it. Once wrapped, the fundus is stitched to support the valve or flap between the esophagus and stomach. In a partial fundoplication, the stomach is only wrapped part of the way around the esophagus. Fundoplication surgery isn’t always effective long term, and some people need to continue to take acid reflux medication to relieve symptoms. Complications of fundoplication surgery included increased flatulence, belching, and difficulty swallowing.

Although less commonly performed than fundoplication surgery, gastropexy is another surgical procedure done to reduce prolonged heartburn as a result of GERD that hasn’t responded to medications or lifestyle adjustments. In a gastropexy procedure the stomach is attached to the diaphragm so it can’t slip through the diaphragm opening into the chest.

Before deciding on surgery to treat GERD, your Atlanta physician will perform tests to determine whether surgery is likely to control or relieve your heartburn and other GERD symptoms.


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