GERD/Acid Reflux Surgery

Also known as acid reflux, gastroesophageal reflux disease (GERD) surgery is a permanent solution for patients suffering from chronic acid reflux. Surgeries are usually performed laparoscopically or with robotic-assisted surgery, both of which use small incisions to minimize scarring, reduce pain, and promote a faster recovery.

What is GERD/Acid Reflux Surgery?

The goal of GERD surgery for moderate to severe heartburn is to recreate the one-way valve—the function of the lower esophageal sphincter—to prevent stomach acid from flowing back into the esophagus. Dr. Grieve performs the minimally invasive Nissen fundoplication procedure for acid reflux patients, as well as hiatal hernia repair when needed. Most patients can return to work and normal activities within 2 to 3 weeks following laparoscopic or robotic-assisted surgery.

Non-Surgical Treatment

Dr. Billie Jo Grieve works with her patients who have chronic heartburn or gastroesophageal reflux disease (GERD) to exhaust all available non-surgical treatments. Frequently lifestyle changes can eliminate or reduce the frequency and intensity of your acid reflux symptoms. Dr. Grieve recommends:

  • Lose weight — For patients with a BMI over 30, the increased intraabdominal pressure from the extra weight pushes up the stomach and causes acid reflux.
  • Stop or reduce alcohol use and smoking.
  • Avoid food and beverages that irritate the esophagus and cause acid reflux.
  • Do not eat for at least two hours prior to bedtime or lying down for a nap.
  • Raise the head of the bed to sleep (not just elevate the head with more pillows).
  • Use medications like antacids, H2 blockers, or proton pump inhibitors (PPIs).

Reasons for GERD Surgery

Quality of life is significantly improved after surgery for GERD and GERD-related symptoms. Common reasons for surgery include:

  • Medication Ineffectiveness — People who don’t get relief from medications: If medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) don’t effectively control the symptoms, surgery may be an option.
  • Young Age — Acid reflux surgery may be recommended for a young person if lifelong therapy medication is needed. The risk of developing serious health complications such as Barrett’s esophagus or esophageal cancer is higher if GERD starts at a young age.
  • Severe Symptoms — People with severe or frequent symptoms: Individuals experiencing significant discomfort despite treatment may consider surgery.
  • Complications of GERD — Conditions such as esophagitis (inflammation of the esophagus), Barrett’s esophagus (precancerous changes), or strictures (narrowing of the esophagus) may make surgery necessary.
  • Hiatal Hernia — A hiatal hernia occurs when part of the stomach pushes up into the chest through the diaphragm, often worsening GERD symptoms. Surgery can help fix the hernia and reduce GERD.
  • Ineffective Lifestyle Modifications — When non-surgical treatment options recommended by your physician (listed above) do not eliminate or reduce the frequency and severity of acid reflux, Nissen fundoplication surgery may help.

If you or someone you know is considering surgery for GERD, it’s important to consult with a healthcare provider to discuss the potential benefits and risks based on individual health needs.

Candidates for Successful GERD Surgery

Before surgery, patients must commit to long-term lifestyle modifications in order for it to be successful. These include:

  • Maintain a BMI under 30 to ensure that excess abdominal weight doesn’t push the stomach up.
  • Limit or avoid smoking and drinking alcohol.
  • Avoid food and beverages that cause acid-reflux symptoms.

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