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Dr. Pankaj Gupta

Consultant - Robotic, Bariatric , Minimal Access & Gastro- Intestinal Surgery

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Best Bariatric Surgeon in Delhi | Dr. Pankaj Gupta
Reviewed by

Dr. Pankaj Gupta

Consultant - Robotic, Bariatric , Minimal Access & Gastro- Intestinal Surgery

Manipal Hospitals, Delhi

Laparoscopic GERD Surgery: Addressing Reflux The Minimally Invasive Way

Reviewed by:

Dr. Pankaj Gupta

Posted On: May 16, 2024

blogs read 4 Min Read

Laparoscopic GERD Surgery

Gastroesophageal reflux disease (GERD), commonly known as heartburn, affects millions of people worldwide. It occurs when stomach acid backs up into the oesophagus, causing a burning sensation in the chest. While medications can often manage GERD symptoms, some individuals experience persistent and severe discomfort, leading them to consider surgical intervention. This blog delves into laparoscopic GERD surgery, a minimally invasive option for treating chronic gastroesophageal reflux disease (GERD). We'll explore:



The basics of GERD and its impact: Understand the underlying causes and how it affects individuals

GERD symptoms arises when the lower oesophagal sphincter (LES), a muscular valve at the base of the oesophagus, weakens or relaxes inappropriately. This allows stomach acid, along with food and other stomach contents, to flow back up into the oesophagus, causing irritation and inflammation.

Common Symptoms of GERD

  1. Heartburn (a burning sensation in the chest)
  2. Regurgitation (the flow of acidic stomach contents back up into the mouth)
  3. Acidic taste in the mouth
  4. Difficulty swallowing
  5. Chest pain
  6. Chronic cough

Chronic GERD can significantly impact your quality of life, causing sleep disturbances, dental problems, and even precancerous changes in the oesophagus (Barrett's oesophagus).

When Medications Fall Short: Considering Surgery

If lifestyle changes and medication management prove ineffective in controlling severe and persistent GERD symptoms, then laparoscopic GERD surgery may be considered. The best gastroenterologist in Delhi will evaluate your individual situation, considering factors like:

  • Severity of symptoms: The frequency and intensity of your gastroesophageal reflux disease symptoms play a crucial role.
  • Response to medication: If medications fail to provide significant relief, surgery becomes a potential option.
  • Complications of GERD: In cases where GERD leads to complications like oesophagal ulcers or strictures, surgery might be necessary.
  • Overall health and preferences: Your general health and personal preferences for treatment will be factored into the decision-making process.

Minimally Invasive Advantage: Laparoscopy vs. Open Surgery

Laparoscopic GERD surgery offers several advantages over traditional open surgery, including:

  1. Smaller Incisions: This translates to less pain, scarring, and blood loss.
  2. Faster Recovery: Patients typically experience shorter hospital stays and quicker return to normal activities.
  3. Reduced Risk of Complications: Laparoscopy offers a less invasive approach, potentially reducing the risk of infection and other complications.

Inside the Operating Room: The Laparoscopic Procedure

Gastroesophageal reflux disease treatments (surgical), also known as laparoscopic Nissen fundoplication, involves the following steps:

  1. General Anesthesia: You will be put to sleep during the procedure.
  2. SmallIincisions: The surgeon makes a few tiny incisions in your abdomen.
  3. Laparoscope Insertion: A laparoscope, a thin instrument with a camera, is inserted through one incision. This allows the surgeon to visualise the surgical area on a monitor.
  4. Surgical Instruments: Other instruments are inserted through the remaining incisions to perform the procedure.
  5. Fundoplication: The upper part of the stomach (fundus) is wrapped around the lower oesophagus and secured with sutures. This strengthens the LES and prevents stomach contents from refluxing back up.
  6. Closure: The incisions are then closed with stitches or staples.

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