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GERD Procedures

TIF (Transoral Incisionless Fundoplication)

TIF is a minimally invasive treatment for GERD.  The TIF procedure is performed from inside the patient’s stomach without incisions. The TIF procedure repairs the anti-reflux barrier by reducing a paraesophageal hernia (≤2cm) and creating a valve 2-4 cm in length and greater than 270 degree circumferential wrap.  Restores the dynamics of the angle of HIS.

Advantages:

  • Minimally invasive
  • Endoscopic Procedure
  • No scars
  • Fast recovery
  • Does not limit future treatment options

Disadvantages:

  • Paraesophageal hernias cannot be  >2cm

STRETTA

STRETTA therapy is a minimally invasive procedure performed with an EGD. The STRETTA procedure treats the lower esophageal sphincter muscle with radiofrequency energy bursts that stimulate the regenerative growth of the muscle tissue.  This allows for the muscle to become thicker to reduce reflux.

Advantages:

  • Minimally invasive
  • Endoscopic procedure
  • No scars
  • Fast recovery
  • Does not alter anatomy
  • Does not limit future treatment options

Disadvantages:

  • Difficulty belching
  • Bleeding
  • Infection
  • Difficulty swallowing

LINX

The LINX system uses small flexible band of interlocking titanium beads with magnetic cores that fits around the Lower Esophageal Sphincter (LES) to provide resistance to opening by the gastric pressures, thus preventing reflux. The LINX device will release the magnetic beads when swallowing fluids and solids allowing them to pass normally into the stomach.  After swallowing the magnetic beads will come together to close the LES, preventing any reflux after eating or drinking.

Advantages:

  • Minimally invasive
  • Reduction in reflux
  • Improvement in heartburn and regurgitation
  • Reduction or elimination of GERD Medications
  • Implant can be removed
  • Additional treatments can be performed

Difficulties:

  • Implantable device
  • Allergies to nickel, titanium, stainless steel or ferrous metals.
  • May not be able to belch or regurgitate Weight restriction for 30 days.

NISSEN FUNDIPLICATION

Laparoscopic procedure the upper portion of the stomach is wrapped around the LES to strengthen to sphincter to prevent acid reflux and to repair a paraesophageal hernia.The Nissen procedure will strengthen the area of the weakened lower esophagus, which allows for the stomach acids to flow up into the esophagus instead of containing these acids in through the down-stream digestive system.

Advantages:

  • Minimally invasive
  • Reduction of reflux
  • Improvement in heartburn and regurgitation
  • Reduction/elimination of GERD Medication

Disadvantages:

  • 1-2 night stay in hospital
  • Weight restriction for 30 days
  • Modified diet immediately post-op
  • Few additional treatment options left
  • Persistent dysphagia

Memorial Heartburn Center

Memorial Heartburn Center provides extraordinary care for patients struggling with heartburn, acid reflux and gastroesophageal reflux disease (GERD). Our experienced Heartburn team has extensive training and perform a range of advanced diagnostic and treatment procedures to help ease patients' symptoms.