Laparoscopic Surgery
Gerd-Gastroesophageal Reflux Disease treatment in Chennai
Gastroesophageal reflux disease (GERD) ,In this condition a physiological valve (lower oesophageal sphincter-LES)in the lower part of the esophagus junction with the stomach is loose or lax allowing the gastric contents to reflux or regurgitate into the stomach.
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- 28+ yearsin practice
- 20,000+laparoscopic surgeries
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- BillrothShenoy Nagar
Key facts about Gerd-Gastroesophageal Reflux Disease
- Condition
- Gerd-Gastroesophageal Reflux Disease
- Speciality
- Laparoscopic Surgery
- Approach
- Keyhole where suitable
- Treated by
- Dr. Kumaragurubaran
- Hospital
- Billroth, Shenoy Nagar
- Consultations
- Mon–Sat, no referral
What is Gerd-Gastroesophageal Reflux Disease?
Gastroesophageal reflux disease (GERD) ,In this condition a physiological valve (lower oesophageal sphincter-LES)in the lower part of the esophagus junction with the stomach is loose or lax allowing the gastric contents to reflux or regurgitate into the stomach. This is called GERD-Gastroesophageal Reflux Disease And commonly many people refer to this as ACID REFLUX. Many times this is referred to as LAX LES in endoscopy.
Fundoplication
In this surgery the hiatus or the diaphragmatic opening is tightened and to stop reflux, the surgeon wraps the top of the stomach over the lower oesophageal sphincter. This increases pressure on the lower oesophageal sphincter and typically reduces acid reflux. Fundoplication is usually performed by a minimally invasive (laparoscopic) procedure. In this procedure, upper part of the stomach is wrapped completely or partially (Nissen fundoplication).
DR.KUMARAGURUBARAN is the best Doctor For LAPAROSCOPIC FUNDOPLICATION.
Symptoms of Gerd-Gastroesophageal Reflux Disease
The signs patients most often describe. Anything lasting more than a few weeks is worth having examined.
- Heartburn(retrosternal burning)
- Regurgitation
- The feeling of food caught in the throat
- Coughing on lying down
- Problem swallowing
- Sore throat and hoarseness
What causes Gerd-Gastroesophageal Reflux Disease?
- 1) When there is excessive intra abdominal pressure like pregnancy, accumulation of fluid in the abdomen, or mass in the abdomen This increased pressure causes reflux and heartburn.
- 2)Certain food groups such as dairy, or fried foods and eating patterns
- 3)Medications that include painkillers
- Antidepressants, and medications for allergies
- High blood pressure
- 4)Hiatus The top portion of the stomach protrudes into the chest through the diaphragmatic opening, obstructing normal meal intake.
- Anyone can develop GERD.
- People are more likely to have GERD if they
- Are overweight or have obesity
- Pregnant woman
How Gerd-Gastroesophageal Reflux Disease is diagnosed
No operation is planned on a guess — the diagnosis is established first.
- Barium swallow
- Ambulatory acid (pH) probe test
- Oesophageal manometry
How Gerd-Gastroesophageal Reflux Disease is treated
-
Usually, this is treated with lifestyle modifications and medicines like,
-
1)Antacids are given to provide quick relief by neutralizing stomach acids. 2)H-2 receptor blockers and Proton pump inhibitors are given to decrease acid production.
-
If lifestyle modifications and medicines are not effective surgery- Laparoscopic Fundoplication is advised.
Keyhole versus open surgery
Typical differences for a planned procedure in a generally healthy adult. Your own risks are discussed with you before consent.
| Measure | Open surgery | Keyhole |
|---|---|---|
| Incision | One cut, 10–15 cm | Three or four cuts, 5–10 mm |
| Hospital stay | 3–5 nights | Same day to 1 night |
| Back to desk work | 4–6 weeks | About 1 week |
| Wound infection risk | Higher | Substantially lower |
| Scarring | One long scar | Marks that fade |
| Still right when | Dense adhesions, bleeding, unclear anatomy | The large majority of planned cases |
Recovery after treatment
- Avoid spicy food items, and beverages.
- Avoid smoking, Avoid lying down immediately after the food.
Why patients choose this practice
Diagnosis before decision
No operation is scheduled on a guess. Many patients who arrive expecting surgery leave with a treatment plan instead.
Costs in writing, first
A written estimate covering surgeon, theatre, anaesthesia, implants and expected stay before you are asked to consent.
Keyhole most of the time
Ninety-five per cent of procedures are completed through keyhole access; the rest are open because open was the safer call.
Second opinions
If surgery has been advised elsewhere, bring the scans and the plan. Reviewing another surgeon’s recommendation is routine.
About the surgeon
Treated by
Dr. Kumaragurubaran
Senior Surgical Gastroenterologist, Advanced Laparoscopic, GI & Robotic Surgeon
MBBS, MS (General Surgery), MRCS (England), FIAGES (Gastro), FALS (Colorectal, Bariatric, Hernia, Robotic), Dip. ALS (Advanced Laparoscopy)
Gastroenterologist, GI & Laparoscopic Surgeon at Billroth Hospitals in Shenoy Nagar, Chennai. Treats Hernia, Reflux, Obesity, Colorectal, Gastrointestinal and Anorectal conditions, and provides medical treatment for GERD, Gastritis, Peptic ulcer, Jaundice, Pancreatitis, Colitis and IBD.
Gerd-Gastroesophageal Reflux Disease: frequently asked questions
What is Gerd-Gastroesophageal Reflux Disease?
Gastroesophageal reflux disease (GERD) ,In this condition a physiological valve (lower oesophageal sphincter-LES)in the lower part of the esophagus junction with the stomach is loose or lax allowing the gastric contents to reflux or regurgitate into the stomach.
What are the symptoms of Gerd-Gastroesophageal Reflux Disease?
Heartburn(retrosternal burning). Regurgitation. The feeling of food caught in the throat. Coughing on lying down.
What causes Gerd-Gastroesophageal Reflux Disease?
1) When there is excessive intra abdominal pressure like pregnancy, accumulation of fluid in the abdomen, or mass in the abdomen This increased pressure causes reflux and heartburn. 2)Certain food groups such as dairy, or fried foods and eating patterns. 3)Medications that include painkillers.
How is Gerd-Gastroesophageal Reflux Disease diagnosed?
Barium swallow. Ambulatory acid (pH) probe test. Oesophageal manometry.
How is Gerd-Gastroesophageal Reflux Disease treated?
Usually, this is treated with lifestyle modifications and medicines like,. 1)Antacids are given to provide quick relief by neutralizing stomach acids. 2)H-2 receptor blockers and Proton pump inhibitors are given to decrease acid production. If lifestyle modifications and medicines are not effective surgery- Laparoscopic Fundoplication is advised.
Who treats Gerd-Gastroesophageal Reflux Disease in Chennai?
Dr. Kumaragurubaran, Senior Consultant Gastroenterologist, Laparoscopic, GI & Robotic Surgeon at Billroth Hospitals, Shenoy Nagar, Chennai, treats Gerd-Gastroesophageal Reflux Disease. He has 28 years of experience and has performed more than 20,000 laparoscopic surgeries.
How do I book a consultation for Gerd-Gastroesophageal Reflux Disease?
You can call +91 93603 91740, message on WhatsApp, or send the appointment form on this site. No referral is needed and most patients are seen within the same week. Consultations run Monday to Saturday at Billroth Hospitals, Shenoy Nagar.
Medically reviewed by Dr. Kumaragurubaran, MS (General Surgery), DNB (Surgical Gastroenterology), Senior Consultant at Billroth Hospitals, Shenoy Nagar. This page is patient education and does not replace a consultation in which you have been examined.
Next step
Discuss Gerd-Gastroesophageal Reflux Disease with Dr. Kumaragurubaran
Bring any scans or reports you already have. You will be told plainly what is wrong, what the options are, and what happens if nothing is done.