Surgical Procedures for Gastroesophageal Reflux Disease (GERD)
Michael Jubinville, MPH
Surgery isn't done unless other methods to treat GERD don't work. After surgery, you may need less or no medicines. GERD symptoms will be greatly reduced.
Fundoplication is the most common method. The upper part of the stomach is wrapped around the lower esophageal sphincter (LES). The wrapped stomach applies pressure on the LES. This keeps it closed when it's supposed to be.
If you have a hiatal hernia, it can be fixed now.
There are 2 methods:
Recovery tends to be faster after a laparoscopic procedure. But, it may not work for everyone.
Endoscopic Antireflux Procedures
An endoscope is passed through the mouth and down to the stomach. Many methods can be used to lower the amount of acid flowing backwards from the stomach. With transoral incisionless fundoplication (TIF), fasteners are used to reshape the upper part of the stomach. This tightens the LES.
TIF has a shorter recovery time and is less risky than procedures mentioned above.
LINX Reflux Management System
LINX is a small band with magnetic beads. A laparoscope is used to place the band. It's placed around the outside of the esophagus where it meets the stomach. This band helps the LES work better. The magnets keep the LES closed when it’s supposed to be. Pressure from food or drink coming toward the stomach pushes the beads apart to allow entry.
About TIF. GERDHelp website. Available at: https://www.gerdhelp.com/about-tif. Accessed August 20, 2018.
Gastroesophageal reflux disease (GERD). EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated September 14, 2017. Accessed August 20, 2018.
Gastroesophageal reflux disease (heartburn). Ohio State University Medical Center website. Available at: https://wexnermedical.osu.edu/digestive-diseases/heartburn. Accessed August 20, 2018.
Last reviewed May 2018 by EBSCO Medical Review Board Daus Mahnke, MD
Last Updated: 8/20/2018
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.