When to Consider Acid Reflux Surgery

Feb 12, 2024

When to Consider Acid Reflux Surgery

If you frequently find yourself experiencing an unpleasant burning sensation in your chest or a sour, acidic taste lingering at the back of your mouth after you've had a meal, you might just brush it off as basic indigestion. However, these are the classic, tell-tale signs of acid reflux, or gastroesophageal reflux disease (GERD).

For many people, lifestyle changes and over-the-counter medications can provide relief, but these conservative treatments aren't effective enough for everyone. In such cases, surgery might be the answer. 

At Jack Husney, MD, in Brooklyn, New York, board-certified gastroenterologist Dr. Jack Husney is a renowned GERD expert who can help you determine when surgical treatment may be your best next step. Here’s what you should know.   

Acid reflux is more than “heartburn”

Acid reflux, commonly known as heartburn, occurs when stomach acid flows back into your esophagus, the tube that connects your mouth to your stomach. This acid backwash can make your esophageal lining irritated and inflamed, leading to discomfort and potential long-term complications.

Recognizing the signs

Common symptoms of acid reflux include:

  • A burning sensation in your chest, often worse after eating or at night
  • The feeling of acid backing up into your throat or mouth
  • Difficulty swallowing or a sensation of food being stuck in your throat
  • Nausea or loss of appetite 

In chronic cases, acid reflux can lead to more severe health issues like esophageal ulcers, strictures, or Barrett's esophagus, a condition that increases your risk of esophageal cancer.

When to consider surgery for acid reflux

Many people can manage acid reflux with over-the-counter or prescription medications, such as antacids, H2 blockers, or proton pump inhibitors (PPIs). However, when these medications no longer relieve your symptoms adequately, or if you're concerned about using them long-term, you might want to consider surgery.

If your acid reflux leads to complications like significant esophageal damage, surgery can help you prevent any further injury and repair existing damage.

Chronic acid reflux can significantly affect your daily activities. It can disrupt your sleep, prevent you from eating, and cause constant discomfort. All of this can be overwhelming, and surgery is an ideal way to improve your quality of life.

Surgical treatment options for acid reflux

If you're considering surgery for your acid reflux, your options include:

Nissen fundoplication

The standard surgical treatment for GERD is the Nissen fundoplication. This procedure involves wrapping the upper part of your stomach around your lower esophagus to strengthen it and prevent acid reflux. It can be performed laparoscopically, using minimally invasive techniques for a quicker recovery time.

LINX® reflux management system

A newer surgical option for acid reflux is the LINX device, a small ring of magnetic beads placed around your lower esophagus. The magnetic attraction between the beads helps keep your lower esophagus closed to prevent reflux, but still allows it to open when you swallow or belch.

Endoscopic techniques

Endoscopic treatments, such as the Stretta procedure or transoral incisionless fundoplication (TIF), are less invasive than traditional surgery. These procedures help to strengthen your esophageal sphincter and reduce acid reflux.

Is acid reflux surgery right for you?

Deciding to undergo surgery for acid reflux requires careful consideration and expert guidance, and Dr. Husney is here to help. To find a lasting solution for your chronic acid reflux, give us a call at 718-872-5270 today, or click online to schedule an appointment at your convenience.