Low Country Reflux Center
Our Board-Certified surgeon, specially trained in minimally invasive foregut and bariatric surgery has extensive experience with performing multiple types of foregut procedures to include complicated revisional surgery.
Indications for Surgical Referral
- Persistant heartburn despite medication
- Barretts esophagus
- Hiatal hernia with symptoms
- Large hiatal hernia or paraesophageal hernia
- Concerned about side effedts of PPIs
- Desire to discontinue PPIs
- Dysphagia or Schatzki’s ring
- Symptoms consistent with LPR
LINX® Reflux Surgery
LINX® is a procedure desired to restore the loss of function of the lower esophageal sphincter (LES).
This procedure involves implanting a device that mimics the function of the LES. Using minimally invasive technique, a string of magnets is placed around the esophagus and then joined together. The new magnetic ring creates a new sphincter that eliminates acid reflux. LINX varies from traditional surgeries for acid reflux, such as fundoplications, which change the patient’s anatomy to create a new sphincter to control reflux.
- No changes are made to the patient’s anatomy.
- Diet modification is not required
- Patients can still perform functions like belching and vomiting
- Difficulty swallowing my occur after the procedure
- The procedure requires anesthesia
A fundoplication is a procedure that involves wrapping the upper part of the stomach around the esophagus to create a valve replicating an esophageal sphincter.
A TIF procedure occurs without surgical incisions to the stomach. The physician enters through the mouth and uses a special device to move the top part of the stomach up around the esophagus. As a result, a new esophageal sphincter is created.
- Does not involve any incisions
- Lower risk for surgical site infection
- No long term dietary modification required
- No implantable devices
- TIF may not be as tight as a traditional fundoplication
- Although typically an outpatient procedures, an overnight stay is possible after undergoing the TIF procedure
- Long-term durability of TIF beyond 10 years has yet to be determined
Fundoplication, or anti-reflux surgery, is often used to reduce acid reflux symptoms. A fundoplication involves wrapping the upper part of the stomach around the esophagus and sewing it into place. The area sewn creates a narrow passage that serves as an anti-reflux valve
Multiple types of fundoplication procedures exist:
- Nissen fundoplication wraps a portion of the upper stomach entirely around the esophagus to create an anti-reflux valve.
- Dor and Toupet fundoplications are known as partial fundoplications. In these procedures, the stomach is wrapped ½ to ¾ of the way around the esophagus to create an anti-reflux valve.
- Improves symptoms and damage done to the esophagus
- Fundoplication surgery changes your natural anatomy, which may cause unpleasant side effects.
- Patient is advised to eat smaller, more frequent meals long term
- Patients may have increased bloating due to difficulty belching