What does Antireflux Surgery do?   The main structural defect in patients with acid reflux is that the Lower Esophageal Sphincter (LES) or valve is not working. Normally the LES should work as a Gate Keeper. It should open when food wants to come down and close when the food and acid want to go back up. 

The Anti Reflux surgery recreates the LES by 360 degree stomach wrap around the lower esophagus. The diaphragmatic hernia is also repaired. Please see photos below.

How acid and food is stopped from coming back up to mouth? As the stomach distends with food and acid, the new valve also distends and it pinches off the junction with esophagus and food and acid is stopped from going back up. 

Will I be able to eat after this procedure? Yes for a few weeks after procedure we recommend that our patients stay on liquid diet as there is some post operative swelling. After that you can gradually increase your food intake. It is best to eat small meals and avoid carbonated sodas. 

 Will I need to take my PPI medications after this procedure? You may need to slowly reduce your medication dose to taper it over a period of a few weeks other wise you may experience withdrawal symptoms. After you are off medications you do not need them.

Next Step: If you suspect that you or someone you know have GERD then make an appointment with Dr. Pandya in our office by calling (559) 782 8533 or contact your doctor or go to a nearest ER for further evaluation and management. 

To register as Dr. Pandya's patient click here.

If you have any question regarding GERD then call (559) 782 8533 to make an appointment with Dr. Pandya.