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Gastroesophageal reflux disease (GERD), a disorder where stomach acid rushes back into the oesophagus and causes symptoms including regurgitation, heartburn, and chest discomfort, is treated surgically with Anti-Reflux Surgery, commonly referred to as Fundoplication. To strengthen the lower oesophagal sphincter and stop acid reflux, a Fundoplication procedure involves wrapping and fastening the fundus, the upper portion of the stomach, around the lower oesophagus. Traditional open surgery techniques or minimally invasive procedures like laparoscopy or robotically assisted surgery can be used to execute this surgery. Compared to open surgery, minimally invasive procedures have advantages like fewer incisions, less discomfort, shorter hospital stays, and quicker recovery periods. When medication therapy or lifestyle changes have failed to alleviate severe or chronic GERD symptoms, Laparoscopic antireflux surgery in Kolkata is usually advised. Although Fundoplication surgery can successfully reduce symptoms and enhance the quality of life for many patients, there are certain dangers associated with it, including dysphagia, bloating of the stomach, and, in certain circumstances, the need for additional surgery. Manipal Hospitals, Broadway, Kolkata, has the best team of experienced surgeons and cutting-edge technologies to provide effective treatment for reflux issues such as GERD.
Anti-Reflux Surgery is a surgery done to treat gastroesophageal reflux disease (GERD), a condition in which stomach acid enters the oesophagus from the stomach. The most common procedure for this surgery is fundoplication, which aims to strengthen the lower oesophagal sphincter and enhance the quality of life for people with severe or persistent GERD symptoms. Anti-Reflex Surgery is generally recommended in the following cases:
When the GERD symptoms do not improve by medicine or lifestyle modifications
You no longer want to keep taking medicines for this issue
Scarring, narrowing, bleeding or ulcers occur in the oesophagus, making your condition worse
Your reflux disease is causing chronic cough, hoarseness or aspiration pneumonia
In addition, Anti-Reflex Surgery is also done when part of your stomach gets stuck in your chest or gets twisted, a condition called para-oesophageal hernia.
Heartburn, regurgitation, chest pain, difficulty swallowing, persistent coughing or hoarseness, asthma-like symptoms, and laryngitis are common symptoms of gastroesophageal reflux disease (GERD), which may warrant consideration of Anti-Reflux Surgery. This surgery is usually advised if GERD is severe or persistent, if lifestyle modifications and medication are ineffective, or both. By treating the underlying cause of GERD, this surgical treatment seeks to enhance the quality of life for patients.
Fundoplication is a surgical procedure used in Anti-Reflux Surgery. The lower oesophagal sphincter is strengthened during this treatment by wrapping and fastening the fundus, the upper portion of the stomach, around the lower oesophagus. By strengthening the sphincter and creating a valve mechanism, this wrapping stops stomach acid from flowing backwards into the oesophagus. Anti-Reflux Surgery seeks to improve sphincter function in order to reduce GERD-related discomfort and improve patients' quality of life. Traditional open surgery methods or less invasive procedures like laparoscopy or robotically assisted surgery can be used to accomplish a Fundoplication.
After the surgery, patients typically stay in the hospital for 1-2 days to manage their pain and monitor their recovery. Once stabilised, they are discharged to go home with post-operative instructions and a follow-up schedule.
Usually, most of the patients can return to their normal life activities within 2-3 weeks, although it may take up to 6 weeks for full recovery. For fast and better recovery, the patients are advised to avoid strenuous activities and follow a special diet during the initial days after the surgery
While laparoscopic and robotic-assisted procedures employ smaller incisions, traditional open Anti-Reflux Surgery uses larger ones, which leads to less scarring, better cosmetic outcomes, and a quicker recovery. Improved dexterity for accurate movements and superior visibility through high-definition cameras are features of laparoscopy and robotic-assisted surgery. Minimally invasive procedure patients usually stay in the hospital for shorter periods of time and have less discomfort after surgery. Because of these developments, minimally invasive methods are now recommended for Anti-Reflux Surgery.
Anti-Reflux Surgery may carry the following risks or complications: infection, bleeding, dysphonia, swallowing issues, gas bloating, wrap migration, anaesthetic hazards, oesophageal perforation, and long-term adverse effects. In order to fully understand the risks involved and make an informed decision about moving forward with the treatment, patients who are thinking about this surgery should have a thorough discussion about these options with our experienced GI surgeons.
People can look at alternative therapies and lifestyle changes before contemplating Anti-Reflux Surgery. These include dietary modifications, managing weight, raising the head of the bed, eating smaller meals, giving up smoking, changing one's lifestyle, drug therapy, and non-surgical procedures such as the implantation of a LINX or Stretta device. Before deciding to have surgery, speaking with a healthcare professional is crucial to figuring out the best course of action for controlling GERD symptoms.
Although the surgery is effective, there is still a small risk of recurrence. With some lifestyle modifications and ongoing management, symptoms can be alleviated.
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