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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 5660
Experience:  Emergency Medicine and Family Practice for over 26 years
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What is the surgery for GERDS? Proton puppets 2 times a day

Customer Question

What is the surgery for GERDS?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Proton puppets 2 times a day and ranitidine 350mg
JA: What medications do you take daily? Are you allergic to any medications?
Customer: Not alllergic. Take Ibersartin 350,Rbostan, -/2 IOC 60 mg premarin
JA: Anything else in your medical history you think the doctor should know?
Customer: i. Exercise regularly blood pressure well controlled 120/60 usually. GErd is silent - don't feel it. Did have a little cough ENT scoped me and said inflamed and was Gerds
Submitted: 11 months ago.
Category: Health
Expert:  Susan Ivy replied 11 months ago.

Surgery for GERD is usually done when medical management has failed. In other words, your health care provider typically will suggest you try the following first (if you have not already done so or if they apply to you)

1st step: weight loss, low fat diet, avoid, carbonated beverages, reduction of caffeine and alcohol, stopping smoking, avoid eating and drinking before going to bed, elevating the head of your bed.

2nd step: medication

If symptoms continue the standard surgical option is a fundoplication. The upper curved area (fundus) is wrapped around the esophagus then sutured in such a way that the lower end of the esophagus is placed through a tunnel in the stomach muscle. This bypasses the herniated or excoriated area. In some cases this may be done via laproscopic surgery. There are risks, and one should consider whether this is prefered over medical management as mentioned above. If your GERD is not even bothering you (you mention it is silent) and you are already taking measures to improve your health, such as exercising, your doctor will most likely recommend continuing medical management. In fact, surgery is usually considered the last choice such as if ulcers and bleeding are not controlled. (there are newer non-surgical procedures being developed, but medical management is still the 1st choice)