Anti-reflux Repair

Indication
Patients with persistent, severe reflux of acid from the stomach up into the esophagus (gastroesophageal reflux disease or GERD) which does not respond to aggressive medical treatment. This may include patients whose symptoms persist despite medication or just as importantly patients whose symptoms improve but continue to have irritation of the esophagus despite medication.


Preoperative Evaluation
All patients receive upper endoscopy (EGD) as well as a measurement of how well the esophagus moves (esophageal manometry). Additionally, some patients require a measurement of how much acid enters the esophagus (24 hour pH probe).

Procedure
Through five very small incisions the abdomen is inflated with carbon dioxide and using a television camera and long, thin instruments the stomach is wrapped around the lowest part of the esophagus.

Length of Stay
Average length of stay is two days.

Recovery
Usually two to three weeks with regards to activity. Recovery varies depending on how quickly certain types of foods are eaten. Nearly all patients can permanently stop their anti-ulcer medications (Maalox, Pepcid, Zantac, Prilosec, etc.).