When Should You Consider Surgery for GERD?

Gastroesophageal reflux disease (GERD) is a chronic digestive condition in which stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, chest pain, and difficulty swallowing. While lifestyle modifications, medications, and dietary changes help manage GERD in most cases, some patients may need surgical intervention when conventional treatments fail.

In this blog, Dr. Samrat Jankar, a highly skilled gastrointestinal surgeon in Pune, explains when GERD surgery is necessary, the types of procedures available, and what patients can expect from surgical treatment.

Understanding GERD and Its Impact:

GERD occurs due to the weakening of the lower esophageal sphincter (LES), a muscle that acts as a valve between the stomach and the esophagus. When this muscle becomes weak or relaxes inappropriately, stomach acid flows back into the esophagus, causing discomfort and potential complications such as:

Esophagitis (inflammation of the esophagus)
Esophageal strictures (narrowing due to scarring)
Barrett’s esophagus (a precancerous condition)
Esophageal cancer (in severe cases)

For many people, lifestyle modifications such as weight loss, dietary changes, avoiding late-night meals, and elevating the head while sleeping can reduce GERD symptoms. Medications like proton pump inhibitors (PPIs) and H2 blockers are also commonly prescribed to lower stomach acid production. However, for some patients, these interventions are not enough, making surgery a viable option.

When is Surgery for GERD Necessary?

Surgery for GERD is typically considered in the following cases:

Severe, Persistent Symptoms: If GERD symptoms persist despite optimal medical therapy and lifestyle modifications, surgery may be the best option to prevent further complications.
Dependence on Medications: Long-term use of proton pump inhibitors (PPIs) and other acid-reducing medications can have side effects. Patients who rely on these medications indefinitely may benefit from surgical correction.
Complications of GERD: Chronic acid reflux can lead to serious conditions like Barrett’s esophagus, esophagitis, and esophageal strictures. Surgery can help prevent further damage.
Hiatal Hernia: Some patients with GERD have a hiatal hernia, where part of the stomach pushes through the diaphragm. Surgery can repair the hernia and reduce reflux symptoms.
Regurgitation and Aspiration Risk: Patients experiencing frequent regurgitation or those at risk of aspirating stomach contents into the lungs may require surgery to prevent respiratory complications.

Types of Surgical Procedures for GERD:

Laparoscopic Fundoplication: This is the most common surgery for GERD. The surgeon wraps the top part of the stomach around the lower esophagus to strengthen the lower esophageal sphincter and prevent reflux.
LINX Device Placement: This involves implanting a small magnetic ring around the esophagus to help prevent acid reflux while allowing food to pass normally.
Endoscopic Procedures: Certain endoscopic techniques can help strengthen the esophageal sphincter and reduce acid reflux without invasive surgery.

Benefits of GERD Surgery:

Long-term relief from acid reflux symptoms.
Reduced or eliminated the need for medications.
Lower risk of complications like esophageal strictures or Barrett’s esophagus.
Enhanced quality of life.

Conclusion:

Surgery for GERD is an effective option for patients who do not respond to medication, suffer from complications, or wish to avoid long-term medication use. State-of-the-art surgical procedures like laparoscopic fundoplication and LINX offer excellent results with minimal recovery time.

If you are struggling with chronic GERD symptoms and considering surgical treatment, consult Dr. Samrat Jankar, a leading GERD surgeon in Pune, for expert guidance and personalized care. Early intervention can prevent complications and significantly improve your quality of life.

For consultations and more information about GERD surgery, contact Dr. Samrat Jankar today!