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Introduction

GERD is pretty common medical condition, but in some casesit needs to be treated by a surgical therapy. Among the latest inventions whichcan be used for the treatment of this medical condition are the so called protonpump inhibitors. Since the beginning of their use the surgical therapy hasdeclined significantly in its use as the most efficient method of treatment.The surgery is also often associated with certain side effects which may evenbe life threatening in some cases. These side effects are much reduced with theuse of proton pump inhibitors. Surgery is often the only option for all thosewho suffer from serious forms of gastroesophageal reflux disease. Poor control on proton pump inhibitors in suchcases may unfortunately be an indication that even the surgical procedure mayfail to control the harmful symptoms of the medical condition. These complicationsmay occur in younger patients who do not want to take high doses of medicamentsfor prolonged periods of time.

Anti Reflux Surgery

Laparoscopic anti-reflux surgery is a much more desirableoption than the open procedures which were used before. The earlier, openprocedures involved the cutting of the abdomen so that the stomach andesophagus could be fully exposed. This new procedure involves a telescopicinstrument medically referred to as laparoscope. This surgical techniqueutilizes only a small number of miniature incisions and the hospital stay afterthe procedure does not last longer than two days. The hiatal hernia gets pulledback down into the abdomen so that the top part of the stomach can be wrappedaround the bottom of esophagus. By doing so, the weak valve gets reinforced.After a successful procedure, the symptoms of reflux disappear completely andthe erosive esophagitis gets healed. This type of surgery has been in use foronly a decade now. The most common disadvantages are the facts that it may failand trigger recurrent GERD and the open procedure may need to be performedhalfway through the operation in some cases. Some cases have involved abdominalbloating and dysphagia after the procedure. One should always have theprocedure done by a highly experienced surgeon. The procedure may provide thepatient with a long lasting, complete relief from heartburn symptoms andprevent certain serious medical conditions from occurring. The procedure maynot be that helpful in those who suffer from the most severe types ofgastroesophageal reflux disease.

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