Gastric Reflux Surgery

What is GERD?
GERD (chronic acid reflux) is disorder that affects the esophagus and stomach. If you have GERD, your stomach acid and contents persistently flow back up through your esophagus. And causes pain and Reflux symptoms.

How is GERD treated? 
For the most part patients can take  Antiacids medications and that will solve the problem

When is surgery indicated?
+ When the reflux is continues and interferes with patient activity and lifestyle.
+ When you cannot stop taking antacids not even for day.
+ When you are having second reflux damage.
+ Chronic sore throat and chronic laryngitis or raspy voice.
+ When long term therapy with antacids can cause Osteoporosis and other undesired side effects like vitamin deficiencies and kidney failure.

How do I get diagnosed?
Upper endoscopy is very helpful to see the stomach and esophagus and rule out other disorders. Bravo Ph Prove its s small capsule in your esophagus that measure how much acid goes back to your esophagus  and how long stays there.

Esophageal manometry. It measures how your esophagus works and moves and confirm that you have a normal working esophagus but a Lower esophageal sphincter pressure.

What are the surgical options?
Nissen Fundoplication. A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD). During the procedure, a surgeon creates a sphincter (tightening muscle) at the bottom of the esophagus to prevent acid reflux. Most people notice a significant decrease in acid reflux symptoms after the surgery.

What is a Nissen fundoplication?
A Nissen fundoplication is a surgery to correct Gastro Esophageal reflux. The surgery tightens the junction between the esophagus and the stomach to prevent acid reflux. The esophagus is the tube between your mouth and stomach. It is part of your gastrointestinal (GI) system. Laparoscopic or Robotic procedures use tiny incisions (cuts) and cameras to view inside the body.

 
What are the advantages of a Nissen fundoplication versus Medical teraphy?
Most people notice an improvement in acid reflux symptoms after a Nissen fundoplication. Relieving GERD keeps you more comfortable and reduces the chance of developing Barrett’s esophagus. Barrett’s esophagus raises the risk cancer.

In the long term studies, over 10 years after the surgery  Nissen fundoplication shows superiority in life style of surgical treatment versus medication.

For patients whose GERD symptoms are stable and controlled with Medication continuing medical therapy and laparoscopic antireflux surgery are equally effective, although surgery may result in better symptom control and quality of life.

What are the risks or complications of a Nissen fundoplication?
The primary risk of Nissen fundoplication surgery is that symptom relief does not always last. Some patients need another surgery after two to three years. Like all surgeries, Nissen fundoplication also carries a risk of infection at the incision site.

What is the recovery time after a Nissen fundoplication?
For the first seven to 10 days after surgery, many surgeons will recommend soft food diet Usually, you can return to usual activities and light exercise within a few days of surgery.

Patient Testimonials

Dr. Garcia is the best, I had a robotic surgery for diverticulitis. It was the best experience I've ever had. I can say my recovery was more than successful. I'm very grateful to him and his staff. I would definitely recommend him with my eyes closed. You will be in the best hands.

Kenia Mirabal Google Review

I was suffering from a bilateral hernia and searched for a professional to address my issue. I was on-line and checking reviews. I found Doctor Garcia and utilized his service. He and his staff members are personable and they provided me with an atmosphere of comfort. His skills performing surgery are amazing. I will definitely refer any family or friends who would be in need of his services. Blessings to you and your staff.

Danny Rodriguez Google Review

Dr Garcia and his staff are top notch. From my very first visit I have been treated like a VIP. My surgery was virtually painless and I have my life back. I am a tennis coach and had resigned to think that I will never play again. Thanks to Dr. Garcia I will be back and better than ever very soon. Thank you!!!!!

Scott Smashey Google Review

Insurances Accepted

General & Bariatric Surgery of South Florida accepts a wide range of health insurances.