GERD is caused by a number of possible conditions including:
These and other factors contribute to the continued weakness of the lower esophageal sphincter or LES, the muscle at the bottom of the esophagus that alternately relaxes and contracts to let food and drink through, stopping acid from refluxing.
Poor management of GERD symptoms can create a very uncomfortable situation. As acid from the stomach washes upwards, the sensitive lining of the esophagus becomes irritated, sometimes even burned. This causes symptoms that can range from mild to downright painful. Some patients mistake their acid reflux symptoms for a heart attack and end up in the emergency room.
Neglecting to address persistent acid reflux can also lead to longer-term damage to the esophagus. Barrett’s Esophagus, a condition in which the cellular lining of the esophagus begins to change due to the constant acidic barrage, can lead to esophageal cancer in some patients.
The first step in the treatment of GERD is lifestyle change. Making small modifications to diet, exercise, and eating patterns can go a long way in reducing the severity of symptoms. If the patient does not follow through with their lifestyle change, they may be prescribed one of two drugs: antacids, which neutralize acid in the stomach, or proton pump inhibitors (PPIs), which stop the production of acid. While medication is typically very effective, it only works while it is being taken, and some patients have significant side effects.
The longer-term curative solution for GERD, when lifestyle change and diet have failed to take hold, includes surgery. Currently, we offer two surgical procedures that are both very effective in treating GERD.
The Nissen fundoplication is the process of wrapping the upper portion of the stomach around the lower esophageal sphincter, augmenting (tightening) it. A hiatal hernia, very common in obese patients, if found, will be repaired during the procedure. The Nissen is the more common surgery performed for GERD and the standard of care for reflux at this time. Learn more about Nissen Fundoplication.
LINX is a newer surgery based on innovative technology in the form of a magnetic and titanium bracelet that is placed around the lower esophageal sphincter to augment the weakened LES. Dr. Tsuda was on of the first surgeons in Nevada trained to perform this surgery. Learn more about LINX GERD Treatment