How successful is Laparoscopic Surgery for GERD? - Dr. Nanda Rajaneesh скачать в хорошем качестве

How successful is Laparoscopic Surgery for GERD? - Dr. Nanda Rajaneesh

Dr. Nanda Rajaneesh | Appointment booking number: 8971755794 Consultant Onco Surgeon and Laparoscopic Surgeon|Apollo Spectra Hospitals, Bengaluru In GERD most often 90 to 95% of the patients treat them only with conservative treatment, that is not doing surgery. Only 4 to 5% we do surgery the reason we do the surgery , is when there is esophagitis and there are some changes like Barret’s esophagitis, grade 1,2,3,4 or severe esopahgitis and changes in the epithelial cells. That men ate individual has already reached some kind of a precancerous condition. other than this the patient is very severely symptomatic and not cured with any conservative treatment and that is when we need to do surgery . The results of the surgery depends on the selection of patients. I have done quite a few surgeries for GERD and the excellent have been excellent because we have selected the patients by doing certain studies on these patients. So we have to do certain different studies between the stomach and the esophagus has to be done and we have to study the acid levels in the stomach and w e have to see for 3 to 6 months how they are doing on conservative treatment or if there are already epithelial changes and if the patients come over late, this when we do Laparoscopic GERD Surgery. So in GERD what we do is w e take the fundus of the stomach and wrap it up around the esophagus and the upper end of stomach with this the reflux of the acid is that happens to the esophagus is reduced. What is most important even after surgery is the diet that to follow. Never take foods that will bloat your stomach and form a gas and acidity and irritate your stomach because if you eat a large quantity of food that will irritate your stomach the surgery that you have done wrapping around the esophagus might also give away because you are trying to stretch it by eating large quantitative of food at a time. So the surgical success depends not only on selection of patients, but the type of surgery and how post operatively patient is followed up and looked after. So GERD surgery is very successful and it is done for certain indicated patients.