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Heartburn Clinic for
Gastro Esophageal Reflux Disease (GERD)

GERD is a chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus and causes GERD signs and symptoms.

Some people are born with a naturally weak sphincter (LES). For others, however, fatty and spicy foods, certain types of medication, tight clothing, smoking, drinking alcohol, vigorous exercise or changes in body position (bending over or lying down) may cause the LES to relax, causing reflux. A hiatal hernia (a common term for GERD) may be present in many patients who suffer from GERD, but may not cause symptoms of heartburn.

The signs and symptoms of GERD include acid reflux and heartburn. Both symptoms are common digestive conditions that most people experience from time to time.

When these signs and symptoms occur more than twice each week or interfere with your daily life, doctors term this GERD. Most people can manage the discomfort of heartburn with lifestyle changes and over-the-counter medications. But for people with GERD, these remedies may offer only temporary relief.

Patients who do not respond well to lifestyle changes or medications or those who continually require medications to control their symptoms, will have to live with their condition or may undergo a surgical procedure. Surgery is very effective in treating GERD. These procedures can relieve the symptoms of GERD.


Laparoscopic Anti-Reflux (GERD) Surgery from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

laparoscopyLaparoscopic anti-reflux surgery (commonly referred to as Laparoscopic Nissen Fundoplication) involves reinforcing the "valve" between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus - much the way a bun wraps around a hot dog.

In a laparoscopic procedure, surgeons use small incisions (1/4 to 1/2 inch) to enter the abdomen through cannulas (narrow tube-like instruments). The laparoscope, which is connected to a tiny video camera, is inserted through the small incision, giving the surgeon a magnified view of the patient's internal organs on a television screen. The entire operation is performed "inside" after the abdomen is expanded by inflating gas into it.

For more information on GERD, go here.


Minimally invasive procedures to treat GERD


The Linx Reflux Management System

The LINX® Reflux Management System augments the weak LES, restoring the body's natural barrier to reflux.

How Does the LINX System Work?linx gerd collar

The LINX System is a small flexible band of interlinked titanium beads with magnetic cores. The magnetic attraction between the beads is intended to help the LES resist opening to gastric pressures, preventing reflux from the stomach into the esophagus.

LINX is designed so that swallowing forces temporarily break the magnetic bond, allowing food and liquid to pass normally into the stomach. Magnetic attraction of the device is designed to close the LES immediately after swallowing, restoring the body's natural barrier to reflux.

Link magnetic gerd collarPatients are placed under general anesthesia during the procedure. The LINX System does not require any anatomic alteration of the stomach.

Most patients go home the day after surgery and resume a normal diet. The LINX System is designed to augment the LES, with the aim of restoring the body's natural barrier to reflux.

To see the video on the Linx System, go here.


Stretta Procedure information

Stretta GERDA catheter is used to deliver radio frequency energy to the lower esophageal sphincter, muscle and gastric cardia.

The Stretta procedure results in significant GERD symptom control and patient satisfaction, superior to that derived from drug therapy in this study group. The treatment effect is durable beyond 1 year, and most patients were off all antisecretory drugs at follow-up. These results support the use of the Stretta procedure for patients with GERD, particularly those with inadequate control of symptoms on medical therapy.

stretta gerd treatment

For more information on Stretta, go here.


TIF - EsophyxTIF Esophyx

An Effective Solution
for Chronic Acid Reflux

TIF (Transoral Incisionless Fundoplication) with the EsophyX device is the first procedure that provides an incisionless solution for correcting the root cause of GERD, an anatomic defect at the gastroesophageal junction. Inserted through the patient's mouth, under visual guidance of an endoscope, the EsophyX device is used to reconstruct a durable antireflux valve and tighten the LES (Lower Esophageal Sphincter), reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction. The result is the effective elimination of GERD. Recent clinical studies show that at two years following the procedure, 85% of patients are still heartburn free and 79% are still off daily PPIs.

Since TIF is non-invasive and repeatable, it offers the best of both worlds – the high effectiveness of a surgical repair and the low complication rate of a transoral approach.

For more information on TIF Esophyx, go here.