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GERD Surgery

Complete care for the patient suffering from heartburn and reflux

GERD can lead to esophagitis, erosive esophagitis and eosinophilic esophagitis, and a hiatal hernia or a paraesophageal hiatal hernia can lead to GERD.

Symptoms of GERD or reflux include heartburn, regurgitation, hoarseness, coughing and/or sore throat, throat clearing and difficulty swallowing (dysphagia). When lifestyle adjustments, medications for GERD such as antacids, H2 blockers or proton pump inhibitors (PPIs) are not controlling symptoms or are causing side effects, or if you are looking for an alternative to medication that actually stops the reflux, surgery may be an option for the long-term cure of GERD. Dr. Fabian is highly trained and experienced in reflux to provide the best care for patients. The evaluation will start with a consultation at which time we will discuss previous diagnostic testing that has been performed and if any further testing is advised to properly diagnose and treat the individual patient.

Complete diagnostic testing

We provide complete diagnostic testing for GERD and other esophageal complaints, including 48-hour esophageal pH monitoring (Bravo probe) and esophageal high-resolution manometry.

GERD Surgery

Please note: All of the following surgeries will include repair of a hiatal hernia if present.

LINX procedure

Using a minimally invasive laparoscopic surgical technique, a quarter-sized flexible band of magnetic titanium beads is placed around the esophagus just above the stomach. This strengthens the body’s natural barrier against acid reflux while allowing food and liquid to easily pass through when swallowing. The magnets open to allow food and liquid down, then close to prevent stomach contents from moving up, stopping acid reflux at the source. The surgery is performed under general anesthesia and takes about 30 minutes. The LINX system begins working immediately, and patients generally go home the same or next day.

Nissen fundoplication

This GERD or antireflux surgery reinforces the valve at the bottom of the esophagus, called the lower esophageal sphincter, by wrapping the stomach around the lower esophagus, making it less likely that acid will back up into the esophagus.

Heller myotomy

This is a surgical procedure in which the muscles of the lower esophageal sphincter are cut, allowing food and liquids to pass to the stomach. It is used to treat achalasia, a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.

Dr. Fabian can provide consultation to those patients who have had GERD or reflux surgery in the past and are not satisfied or are having symptoms.

To learn more about our GERD services, please call 641.494.5260 today to schedule an appointment. Our cardiology patients come to us from Charles City, Mason City, Algona, Iowa Falls and New Hampton.

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