GERD Explained: Causes, Symptoms, And Risks

(MENAFN- GetNews)


"Healthy Life Bariatrics in Los Angeles offers surgical options for persistent GERD when lifestyle changes and PPIs aren't enough or a hiatal hernia is present. Dr. Moein treats the root cause-weak LES-using minimally invasive Nissen fundoplication, LINX, or TIF to reduce reflux, prevent complications, and improve quality of life."GERD (gastroesophageal reflux disease) happens when the lower esophageal sphincter (LES)-the valve between the stomach and esophagus-doesn't close properly, allowing acid to flow back up. This can cause heartburn, regurgitation, sour taste, chest/throat burning, hoarseness, and trouble swallowing. Over time, ongoing reflux may lead to esophagitis, ulcers, scarring/stricture, and Barrett's esophagus.

Understanding GERD: Why Symptoms Persist

GERD occurs when the LES does not close properly, allowing stomach acid and digestive contents to reflux into the esophagus. Over time, chronic exposure can lead to inflammation (esophagitis), ulcers, scarring/stricture, and Barrett's esophagus-a precancerous change of the esophageal lining.

Common symptoms may include:

• Persistent heartburn or burning in the chest/throat

• Regurgitation and sour taste

• Difficulty swallowing

• Chest discomfort

• Hoarseness or throat irritation

What Causes GERD?

Many factors can weaken the LES or worsen reflux, including:

• Obesity

• Pregnancy

• Smoking

• Trigger foods and large meals

• Certain medications

While these triggers can be addressed, the anatomical problem-a faulty valve-may remain, allowing reflux to continue.

First-Line GERD Care: Lifestyle + Medication

Most patients start with conservative treatment, including:

• Avoiding trigger foods and late-night eating

• Smaller meals and weight management

• Over-the-counter antacids

• Prescription proton pump inhibitors (PPIs), which reduce acid production

However, medication primarily controls acid, not the valve malfunction. Once medications are stopped, reflux often returns. Even with optimized medical therapy, a significant portion of patients may continue to experience symptoms.

When GERD Surgery Becomes the Right Option

Surgery may be recommended when:

• GERD is severe, chronic, and not controlled by medical therapy

• Endoscopy or testing confirms esophageal injury

• A hiatal hernia is present (stomach pushing through the diaphragm)

• Patients rely on long-term PPIs but wish to reduce dependence on medication

• Symptoms affect quality of life (sleep disruption, throat symptoms, chest discomfort)

The goal of surgical treatment is to reconstruct or reinforce the LES, prevent ongoing reflux, and support healing of damaged tissue.

Surgical and Minimally Invasive GERD Treatments OfferedNissen Fundoplication

Laparoscopic Nissen fundoplication is widely considered the gold-standard operation for appropriate GERD candidates. Through small incisions, the upper stomach (fundus) is wrapped around the lower esophagus to strengthen the valve mechanism. If a hiatal hernia is present, it is typically repaired at the same time.

Key benefits include:

• Directly addresses the mechanical cause of reflux

• Durable symptom control for many patients

• Minimally invasive approach with small scars and shorter recovery

LINX Procedure (Magnetic Sphincter Augmentation)

The LINX device is a small ring of magnets placed around the LES to keep it closed against reflux while still allowing food to pass naturally. This option has gained popularity for select patients seeking an alternative to fundoplication.

TIF Procedure (Transoral Incisionless Fundoplication)

TIF is performed endoscopically through the mouth-without traditional surgical cuts. Using an endoscope, the gastroesophageal junction is reinforced to recreate a stronger natural barrier against reflux, often suited for chronic GERD and small hiatal hernias.

Advancements in GERD Surgery in Los Angeles

Endoscopic Innovations

Modern endoscopic approaches-such as suturing techniques and radiofrequency-based therapies-offer less invasive options with reduced downtime for carefully selected patients.

Robotic-Assisted Precision

Robotic-assisted techniques are increasingly used to enhance surgical precision, dexterity, and visualization-particularly in complex anatomy or revision cases.

Benefits of GERD Surgery: Beyond Heartburn Relief

Successful surgical correction can:

• Reduce or eliminate chronic heartburn and regurgitation

• Help prevent progression to esophagitis, ulcers, and strictures

• Lower risk associated with long-term esophageal injury

• Address hiatal hernia repair when present

• Improve quality of life, sleep, and throat-related symptoms

Schedule a GERD Surgical Consultation in Los Angeles

Patients struggling with persistent GERD symptoms may have more options than medication alone. Dr. Moein and the team at Healthy Life Bariatrics provide comprehensive evaluation and modern surgical solutions tailored to each patient's anatomy, symptom pattern, and test results.

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