Acid Reflux Surgery: Overview, Preparation, Procedure, Recovery, Risks, and Aftercare
Overview
It is characterized by heartburn, chest pain, and difficulty swallowing when stomach acid backflows into the esophagus, known as acid reflux, also known as gastroesophageal reflux disease (GERD). Although lifestyle changes and medications can often be effective for managing acid reflux, some individuals may require surgery to alleviate symptoms and prevent complications.
Preparation
Acid reflux surgery preparation typically involves:
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In order to determine if surgery is the most appropriate treatment option for your condition, your healthcare provider will conduct a thorough medical evaluation.
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You will discuss the potential risks and benefits of surgery with your healthcare provider to make an informed decision.
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Your healthcare provider may provide you with specific preoperative instructions, such as fasting or discontinuing certain medications before surgery.
Procedure
The most common surgical procedure for acid reflux is called fundoplication. During this procedure, the surgeon wraps the top of the stomach (fundus) around the lower esophagus to strengthen the lower esophageal sphincter (LES) and prevent acid reflux. A laparoscopic procedure is typically performed using a camera-guided instrument called a laparoscope and small incisions.
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The procedure will be performed under general anesthesia so that you remain unconscious and pain-free.
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Laparoscope and other surgical instruments will be inserted through several small incisions in the abdomen by the surgeon. In order to prevent stomach acid from flowing back into the esophagus, the stomach fundus is wrapped around it and stitched in place.
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Sutures or surgical staples are used to close the incisions once the procedure is complete.
Recovery
Acid reflux surgery recovery varies from person to person, but generally involves:
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In order to manage any discomfort you may experience following surgery, you may need to stay in the hospital for one to two days.
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During the initial recovery period, your healthcare provider may recommend a special diet or restrictions on certain foods and beverages.
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Following surgery, you will need to gradually increase your activity level and avoid heavy lifting or strenuous exercise.
Risks
There are certain risks and potential complications associated with acid reflux surgery, including:
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Individuals may experience temporary difficulty swallowing after surgery, which usually resolves on its own.
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After surgery, gas accumulation in the abdomen may cause discomfort or bloating.
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As with any surgical procedure, there is the risk of infection at the incision sites or in the abdominal cavity.
Aftercare
It is important to follow any postoperative instructions provided by your healthcare provider following acid reflux surgery, including:
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During the recovery period, you may need to take medications to manage pain or prevent infection.
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To minimize discomfort and promote healing, follow any dietary restrictions or guidelines provided by your healthcare provider.
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Attend all scheduled follow-up appointments with your healthcare provider to monitor your progress and address any concerns.
Following these aftercare instructions and adopting healthy lifestyle habits, many individuals experience significant relief from acid reflux symptoms and improved quality of life.
