Acid Reflux Disease GERD Treatment Options Explained By J S Rajkumar Lifeline s
Hello friends this is Rajkumar from lifeline s and I am going to be speaking to you today on treatment especially surgical treatment options for a very common problem faced by millions of people. Acid Reflux Disease otherwise known as GERD, gastroesophageal reflux disease. in the previous segment we discussed about the cause and today in this segment we will discuss about treatment. To know more about diseases like Gerd, acid reflux, stomach cancer, obesity We would like you to subscribe to this channel to understand about yourself and about the various treatment options available. Let’s discuss today about surgical treatment options for Gerd. Does everyone with a heartburn require to be cartered to the operation table?.
Nope, we tend to evaluate patients based on how long they have had their acid peptic disease or Gerd and usually people who have suffered for at least two years, who have responded to PPI’s or proton pump inhibitors like omeprazole, rabeprazole etc responded and then bounced back again with the heartburn and all of these patients are subjected to a 24 hour period study. What is this study ? It is a special study wherein we pass some fine acid sensors through a tube with the size of a hair right into the gullet and stomach. These acid sensors collect data, valuable data for us over a 24 hour period so that we are able to understand One, how much of acid is being secreted. Two, how much of it is coming backwards. Three, whether it is accompanied by bile so that we can have what’s called a combined acid and alkaline reflux. Four, whether the patient has significant symptoms at night the nocturnal refluxes or throughout the day etc.
Based on this data we calculate and we are able to evaluate which patient requires laparoscopic surgical treatment. Let’s talk about how we do this. Four or five small holes and even that nowadays we can do that even through a single hole so called single port surgery. We evaluate a patient’s fitness for surgery then a laparoscopic surgical option is performed wherein we tighten up the muscle called the diphgram through which the gullet passes so that there is a snug fit of the gullet. Then we take the stomach and wrap it around the gullet in such a way that the acid and the alkali are not permitted to come back upwards. The operations sounds complicated but is a fairly simple procedure and it takes me all of 25 or 30 minutes to perform. Patients are usually home in a day or two and over the last 15 years we must have performed close to 2000 such operations.
Of whom more than 95% are permanently cured of their acid reflux symptoms. A small proportion come back requiring tablets to keep the acid under control. But overall this is an operation that rids the patient’s severe heartburn symptoms, prevents the patients from having vomiting by preventing a barrett’s changes on the gullet its actually an operation that will prevent esophageal cancer, prevents them from having laryngeal cancer and all the other complications that we earlier spoke about. Thus in a well chosen patient with acid reflux disease or Gerd, if he is Evaluated and assessed pre operatively in a proper manner, he can have a fabulous relief of his symptoms and possibly prevent cancer by an excellent laparoscopic or minimally invasive surgical option.
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GERD Acid Reflux Symptoms Explained By JS Rajkumar Lifeline s
Hello, I am Rajkumar from lifeline s. and I am going to be talking to you today in this segment about acid reflux symptoms. What are they? Who gets them? What do they mean? Let’s find out. to know more about yourself, to understand the newest of technology, science, medicine and surgery.
Please do subscribe to our channel. To find out for instance in today’s segment about acid reflux symptoms. This is possibly one of the commonest diseases in the world. A large number of great people in history have suffered from severe heartburn or acid reflux. It is very easy to understand if you.
Understand that there is a valve here a valve between your gullet or your Esophaegus and your stomach. This one way valve is supposed to permit your food to go down, but its not supposed to permit your food from the stomach to come upwards again. when this happens the acid and the food from stomach go back upwards into the gullet and this is called.
Acid reflux. The number of symptoms the number of problems that come from this acid refluxing backwards are known as acid reflux symptoms. In the simplest format people have the acid being thrown back onto the gullet.
Causing heartburn especially after the ingestion of spicy or fatty meals Sometimes this heartburn can extend all the way upto the neck and can also cause throat burn and a change in voice. very often patients suffer severe chest pain exactly like they are having a heart attack. and when we investigate them We find out that the symptoms are actually acid reflux symptoms.
So, these are the typical symptoms of acid reflux disease. When this happens with gastroesophageal reflux the whole thing is called GERD. or the gastroesophageal reflux disease. There are also a number of Atypical symptoms for example there is the acid banging the throat can even cause cancer in the larynx or throat or voicebox. it can cause chronic hoarseness of voice. Young children have a lot of vomiting because of reflux. this acid going up can spin into the windpipes or the bronchi. And cause asthma. We now know that a large.
Number of patients having so called childhood asthma are really having acid reflux that is spinning into the windpipe and causing asthma. last but not least because of this acid hitting back on the gullet they can have strictures Or benign , its not cancer but benign blockages along the gullet. And sometimes acid reflux can give rise to the cancer of esophagus or Adenocarcinoma. let me tell you that the fastest growing gut cancer today in the planet is adenocarcinoma of the esophagus. and the main reason for that is acid reflux causing something called barretts changes in the gullet.