If you experience chronic acid reflux, also known as gastroesophageal reflux disease (GERD), and your current treatment isn’t managing your symptoms, you might be eligible for a minimally invasive procedure.
Acid reflux is a digestive condition that occurs when stomach acid travels upwards out of the stomach. It moves into the esophagus and sometimes into the throat and mouth. GERD is characterized by frequent episodes of acid reflux and heartburn.
The lower esophageal sphincter (LES) separates the esophagus from the stomach. When you swallow, the LES opens to allow liquids and food into the stomach. While the LES is supposed to stay closed to prevent acid from traveling into the esophagus, some people have weak or relaxed sphincters that allow stomach acid to move upwards.
Symptoms vary from person to person but may include:
Shortness of breath
Sore throat
Difficulty swallowing
Sour taste in the throat or mouth
Coughing
Belching
Regurgitation
Tooth decay
Without prompt treatment, repeat exposure to stomach acid can damage your esophagus and oral health. Some conditions that stem from repeated acid exposure are:
Esophagitis: inflammation that makes the esophagus more susceptible to future damage
Esophageal stricture: a narrowing of the esophagus
Esophageal rings: bands of inflamed tissue in the esophagus
Barrett’s esophagus: a pre-cancerous transformation of the cells in the esophageal tissue
Tooth decay
Lifestyle changes and medications are almost always the first courses of action in treating acid reflux. However, if these treatments don’t produce the desired effect, your doctor might suggest an alternative treatment method. At Our Lady of the Lake Physician Group’s Acid Reflux Center, we offer several minimally invasive procedures, including:
During this procedure, a robotic-assisted surgeon will take the top part of your stomach (the fundus), wrap it around the LES, and surgically attach it there with stitches. This strengthens the LES and helps keep acid in the stomach.
A surgeon will place a ring consisting of small magnets around the LES. The magnets move gently to allow food and liquids into the stomach but don’t move when stomach acid applies pressure on it from below.
During this non-surgical procedure, a doctor uses a long, thin device to expose the LES and gastric cardia to low-power, low-temperature radiofrequency energy. This energy strengthens the sphincter, resulting in less acid escaping.