When Is Surgery Necessary for GERD? A Guide to Anti-Reflux Surgery Options

Gastroesophageal reflux disease (GERD) is a common condition that affects millions of people worldwide. It occurs when stomach acid or bile irritates the food pipe lining, causing discomfort and potentially leading to more serious health issues. While medications and lifestyle changes can manage GERD symptoms for many, some patients may require surgery to find relief. In this article, we’ll explore when surgery becomes necessary for GERD, the different anti-reflux surgery options available, and why patients in Martinsburg, West Virginia, and surrounding areas should consider Thrive Surgery, owned by Dr. Elizabeth Alexandra Zubowicz, for expert care.

Understanding GERD: A Chronic Condition

GERD is characterized by persistent acid reflux, where stomach acid flows back into the esophagus, causing symptoms such as heartburn, regurgitation, chest pain, and difficulty swallowing. If left untreated, GERD can lead to serious complications, including esophagitis (inflammation of the esophagus), strictures, and even esophageal cancer. Lifestyle modifications and medications such as proton pump inhibitors (PPIs) or H2 blockers are often the first line of defense against GERD. However, when these treatments fail to provide adequate relief or cause intolerable side effects, surgery may be considered.

When is Surgery Necessary for GERD?

For some individuals, surgery is the best option to treat GERD effectively. Here are some signs that surgery may be necessary:

1. Chronic or Severe Symptoms

When GERD symptoms persist despite trying multiple medications and lifestyle changes, surgery may be necessary. Chronic heartburn, regurgitation, and difficulty swallowing can significantly impact a person’s quality of life. If medications aren’t providing adequate relief or have become less effective over time, surgical options may offer a more permanent solution.

2. Esophageal Damage

GERD can cause damage to the esophagus over time. If left untreated, chronic acid reflux can lead to conditions such as esophagitis, esophageal ulcers, or strictures. Surgery may be needed to prevent further damage and to heal the esophagus. Additionally, individuals diagnosed with Barrett’s esophagus—a condition in which the cells lining the lower esophagus change due to chronic acid exposure—may require surgery to reduce the risk of esophageal cancer.

3. Inability to Tolerate Medications

Some patients may find that medications used to control GERD, such as PPIs, cause side effects that are intolerable. Common side effects include headaches, nausea, and diarrhea. For individuals who experience these side effects or are unable to take medications long-term, surgery may provide a more sustainable solution.

4. Hiatal Hernia

A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity, which can exacerbate GERD symptoms. Surgery may be recommended to repair the hernia, which can help alleviate reflux and improve overall symptoms.

Anti-Reflux Surgery Options

When surgery is needed to treat GERD, there are several options available, each with its own set of benefits. The most common anti-reflux surgeries include:

1. Fundoplication Surgery

Fundoplication is the most commonly performed surgery for GERD. In this procedure, the surgeon wraps the top of the stomach (fundus) around the lower esophagus to prevent acid reflux. This wrap strengthens the lower esophageal sphincter, which is the muscle responsible for keeping stomach acid from flowing into the esophagus.

There are two types of fundoplication:

• Nissen Fundoplication: The stomach is wrapped 360 degrees around the esophagus. This is the most commonly performed type.

• Partial Fundoplication: The stomach is wrapped around the esophagus at a 180-degree or 270-degree angle, which can be a better option for patients with a history of swallowing difficulties.

Fundoplication is typically performed laparoscopically, which is a minimally invasive technique that involves making small incisions in the abdomen and using a camera to guide the surgery. This results in a quicker recovery time and less post-operative pain.

2. LINX Device Implantation

The LINX device is a newer, less invasive surgical option for GERD. It consists of a small, flexible band of magnetic beads that are placed around the lower esophagus. The magnetic beads help prevent acid reflux by strengthening the lower esophageal sphincter. The LINX device allows the patient to swallow normally, and it does not require any changes to the anatomy of the digestive system, unlike fundoplication. It can be performed laparoscopically, and most patients experience a quick recovery.

3. Transoral Incisionless Fundoplication (TIF)

TIF is a minimally invasive procedure that does not require any incisions. Instead, the surgeon uses an endoscope to create a barrier at the junction between the stomach and esophagus. This procedure helps strengthen the lower esophageal sphincter and prevents acid from refluxing into the esophagus. It is an option for patients with mild to moderate GERD who are looking for a less invasive surgical solution.

4. Esophageal Reconstruction

In rare cases, if a person has extensive damage to the esophagus due to long-term GERD, more extensive surgery may be required to reconstruct the esophagus. This typically involves removing the damaged portion of the esophagus and replacing it with a section of the intestine or stomach.

Why Choose Thrive Surgery for Anti-Reflux Treatment?

If you live in Martinsburg, West Virginia, or the surrounding areas and are seeking expert care for GERD or considering surgery for reflux disease, Thrive Surgery, led by Dr. Elizabeth Alexandra Zubowicz, offers comprehensive, personalized treatment options for all patients.

Dr. Zubowicz and her experienced team specialize in anti-reflux surgery, offering a range of surgical and non-surgical treatments tailored to meet the unique needs of each patient. Whether you’re dealing with severe GERD, chronic heartburn, or esophageal damage, Thrive Surgery is here to provide the care you need.

Thrive Surgery is located conveniently in Martinsburg, West Virginia, and welcomes patients from nearby areas including Hagerstown, Winchester, and Shepherdstown. The clinic uses state-of-the-art technology to ensure that all procedures are safe, effective, and minimally invasive. Dr. Zubowicz takes a patient-centered approach, focusing on education, collaboration, and the most up-to-date treatment options to improve your health and quality of life.

Conclusion

GERD can be a debilitating condition, but surgery can be a life-changing solution for many patients. If you’ve tried medications and lifestyle changes without success, or if you’re experiencing serious complications from GERD, surgery may be the right option. With various anti-reflux surgery options available, it’s important to consult with a specialist to determine the best treatment for your needs.

Thrive Surgery, led by Dr. Elizabeth Alexandra Zubowicz, offers expert anti-reflux treatments for patients in Martinsburg, West Virginia, and surrounding areas. Whether you need fundoplication, LINX implantation, or another surgical solution, Dr. Zubowicz and her team are dedicated to helping you achieve long-term relief from GERD. Don’t let acid reflux control your life—schedule a consultation today and take the first step toward better health.