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Laparoscopic surgery for reflux disease has been available for the last
15 years. Many improvements in technology and technique in the last decade have made this procedure quicker, safer
and more successful.
The procedure frees the upper portion of the stomach and wraps it around the lower
esophagus like a donut. This wrapping of the upper stomach creates a sphincter effect, preventing stomach
juices from refluxing back into the esophagus. If present, a hiatal hernia is repaired as well.
Generally, patients are referred by gastroenterologists. These are medical doctors with specialized training
in disorders of the stomach and intestines. They perform endoscopy, evaluation of the GI tract with flexible cameras.
Often, upper endoscopy shows reflux changes in the lower esophagus and can help confirm the disorder. Biopsies
are usually done at this time to further evaluate the severity of reflux and rule out early cancer. There
are other tests that are usually done prior to referral to the surgeon as well.
As in any procedure, besides the potential for benefit, there are potential risks, both during the time of surgery, and
long term. All of which you will discuss with the surgeon during consultation. You may need additional
tests after this visit. Patient selection is a key to producing a successful long term outcome in this
surgery.
Frequently Asked Questions
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