What is acid reflux?
Acid reflux occurs when stomach acid travels up into the oesophagus, causing symptoms like heartburn or a sour taste. While small amounts of acid reflux are normal, frequent occurrences can lead to inflammation (oesophagitis) or scarring.
The condition happens due to a weak valve between the stomach and oesophagus, which fails to prevent acid from traveling upwards. Additionally, a natural gap in the diaphragm, through which the oesophagus passes, can contribute to the problem. Many patients also have a small hiatus hernia, which further weakens the valve and worsens symptoms.
A surgical procedure may be recommended to prevent acid reflux, and patients are advised to discuss any concerns with their healthcare team before making a decision.
What is a fundoplication?
A fundoplication is a surgical procedure to treat acid reflux by repairing any hiatus hernia and reducing excess gaps in the diaphragm. The surgeon wraps the upper part of the stomach around the oesophagus to create a stronger valve that prevents acid from traveling up. The procedure can involve a complete or partial wrap, depending on the patient’s needs.
What are the benefits of surgery?
The surgery aims to relieve acid reflux symptoms, reducing or eliminating the need for medication and improving overall quality of life.
Alternatives to Fundoplication Surgery
- Lifestyle Changes:
– Avoid foods that worsen symptoms, especially before bedtime.
– Raise the head of the bed to prevent acid reflux at night.
– Maintain a healthy weight, as excess weight can contribute to reflux.
- Medications:
– Proton pump inhibitors (PPIs) are the most effective medical treatment for acid reflux.
– These medications reduce stomach acid, helping control symptoms and heal inflammation in the oesophagus.
- Surgical Alternative – LINX™ Procedure:
– A less invasive option involving magnetic beads placed around the oesophagus to create a valve effect.
– Suitable for some patients, and Mr Wood can assess eligibility.
- Endoscopic Treatments:
– Some procedures use a telescope-like device to treat acid reflux.
– Availability is limited, and long-term results are less clear.
What happens if you don't have surgery?
- Surgery is not essential if symptoms are well controlled with medication.
- Continuing medication, adjusting diet, and maintaining a healthy lifestyle can help manage reflux.
- Doctors recommend avoiding chocolate, caffeine, and alcohol, eating smaller meals, and not eating within two hours before bedtime.
If symptoms persist despite these measures, surgery may be considered as a long-term solution.