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drugs is needed to control their symptoms. Doctors may often recommend
surgery when Barrett's esophagus occurs to eliminate GERD and to prevent
cancerous growth in the esophagus.
Fundoplication
Fundoplication, also called Nissen fundoplication, is a standard surgery with
numerous potential complications and therefore not recommended except
when every other treatment has failed. In this surgery the fundus are wrapped
around the esophagus as the upper part of the stomach is wrapped around
the LES. This is done to prevent refluxed liquid from entering the esophagus
and to strengthen the LES muscles while allowing food to enter the stomach.
There are several potential complications to fundoplication, among them are:
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Nausea
Abdominal cramping
Gas bloat syndrome
Hiatal hernia
Inability to burp or vomit
Retching
Small bowel obstruction
Pale skin
Swallowing problems
Hypoglycemia
Implants
An alternative to surgery that was once approved by the FDA is the implant of
a spongy solution called Enteryx, which is injected during endoscopy and
prevents the stomach liquids from refluxing into the esophagus. Enteryx, was
usually approved only for GERD sufferers who responded positively to proton
pump inhibitors.
Jeff Martin – Heartburn No More
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