Gastroesophageal Reflux Disease (GERD) is a common condition that affects many adults worldwide. It occurs when the contents of the stomach flow back into the esophagus due to a malfunctioning valve that normally keeps them separate. This backflow, or reflux, often leads to uncomfortable symptoms such as a burning sensation in the chest (heartburn), chest pain, difficulty in swallowing, and continuous coughing.
While lifestyle changes and medications are usually the first line of treatment, endoscopic solutions have appeared as effective options for those who don’t respond well to traditional methods. These minimally invasive techniques offer noteworthy benefits, providing relief without the need for major surgery. In this article, we will explore the various endoscopic solutions for GERD suggested by a gastro surgeon in Ahmedabad, their procedures, and the benefits they offer to patients. Let’s take a look in depth!
Symptoms Of GERD:
The most common symptom of GERD is heartburn. This is an uncomfortable burning sensation felt in the middle of the upper abdomen or lower chest. Other symptoms include difficulty swallowing (dysphagia) and regurgitation of fluid into the esophagus. In some cases, fluid may even reflux into the mouth. People with GERD also may develop other atypical (extraesophageal) symptoms such as hoarseness, throat-clearing, sore throat, wheezing, chronic cough, and even asthma.
Causes Of GERD:
GERD occurs when the lower esophageal sphincter (LES) — a muscle that acts as a valve between the esophagus and stomach — doesn’t close properly, allowing stomach acid to flow back into the esophagus. This malfunction can be due to a weak LES, lifestyle factors like obesity, smoking, alcohol, high-fat diets, or carbonated drinks, and conditions like a hiatal hernia. Reduced acid release from the esophagus due to damage or motility issues can also worsen GERD symptoms.
Traditional Treatment Methods of GERD by a gastro surgeon in Ahmedabad
Most people with GERD start with lifestyle changes, such as dietary adjustments, weight loss, and quitting smoking. Medications like antacids, H2 blockers, and proton pump inhibitors (PPIs) are also commonly used to reduce stomach acid production and heal the esophagus lining. However, some patients do not find sufficient relief from these methods or may experience side effects from long-term medication use. According to a gastro surgeon in Ahmedabad, for these people, endoscopic solutions can be a valuable option.
Endoscopic Solutions for GERD
Endoscopic treatments for GERD are minimally invasive methods that include the use of an endoscope by a gastro surgeon in Ahmedabad — a thin, flexible tube with a camera and light at its tip. This tube is inserted through the mouth and into the esophagus, allowing a gastro doctor in Ahmedabad to see inside and perform specific treatments. The primary endoscopic options for GERD include:
Transoral Incisionless Fundoplication (TIF):
Transoral Incisionless Fundoplication (TIF) is a process that recreates the valve between the esophagus and the stomach, thereby controlling acid reflux. The TIF process is performed through the mouth using a specialised device attached to an endoscope. It folds and fastens the stomach tissue around the LES, creating a new valve structure.
- Procedure: The patient is under general anaesthesia. The endoscope with the attached device is inserted through the mouth, and the gastro surgeon in Ahmedabad reshapes the upper part of the stomach to form a more effective valve mechanism.
- Benefits: TIF offers effective relief from GERD symptoms with minimal discomfort. Since the procedure is with no incision, there is no visible scarring, and recovery time is relatively short. Most patients can resume normal activities within a few days.
Stretta Therapy:
Stretta therapy is another endoscopic treatment that includes giving radiofrequency energy to the muscles around the LES. This energy causes the muscles to thicken and strengthen, reducing the frequency of reflux outbreaks.
- Procedure: The procedure takes about 60 minutes and is usually performed on an outpatient basis. A special catheter with electrodes is inserted through the endoscope, and controlled radiofrequency waves are delivered to the LES and the upper part of the stomach.
- Benefits: Stretta therapy is a non-surgical option that improves GERD symptoms by enhancing the function of the LES. It does not require any incisions, and patients can return to their daily activities shortly after the procedure. Studies have shown that Stretta can greatly reduce the need for GERD medications over time.
Endoscopic Suturing:
Endoscopic suturing, or Endoluminal Gastroplication, includes placing stitches in the stomach near the LES to produce a barrier that stops acid reflux.
- Procedure: Using an endoscope equipped with a suturing device, the gastro surgeon in Ahmedabad puts several stitches at strategic points near the LES to support the valve mechanism.
- Benefits: This procedure strengthens the natural barrier between the esophagus and stomach, reducing reflux. It is a minimally invasive choice with a quick recovery time and can be quite effective for patients with average GERD symptoms.
Radiofrequency Ablation (RFA):
Radiofrequency Ablation (RFA) is mainly used for patients with Barrett’s esophagus, a condition that can develop due to chronic GERD. However, it also has a role in treating GERD itself by targeting the damaged esophageal lining.
- Procedure: During the procedure, an endoscope equipped with a radiofrequency ablation catheter is used to deliver controlled heat to the esophageal lining, removing abnormal cells and allowing normal cells to regenerate.
- Benefits: RFA is highly effective in reducing the risk of esophageal cancer in patients with Barrett’s esophagus. It can also improve GERD symptoms by encouraging the regeneration of healthy tissue.
Patient Benefits of Endoscopic Solutions
Endoscopic treatments for GERD offer several advantages over traditional surgical options, making them attractive choices for many patients:
- Minimally Invasive
Endoscopic procedures do not require large incisions, reducing the risk of infection, bleeding, and other difficulties linked with traditional surgery. Patients experience less pain, shorter hospital stays, and faster recovery times.
- Lower Risk of Complications
Compared to open or laparoscopic surgery, endoscopic procedures have a lower risk of complications such as postoperative pain, hernia, or sticking. The reduced need for general anaesthesia also minimises associated risks, especially for older or medically compromised patients.
- Quick Recovery Time
Most endoscopic treatments are performed on an outpatient basis or require only a short hospital stay. Patients can usually return to normal activities within a few days, unlike surgical patients, who may need weeks to recover fully.
- Effective Symptom Relief
Studies have shown that endoscopic treatments can provide effective and sustained relief from GERD symptoms. Many patients report a marked reduction in heartburn, regurgitation, and reliance on medications.
- No Visible Scarring
Since these procedures are performed using an endoscope inserted through the mouth, there are no external cuts or scars, which is aesthetically preferable for many patients.
Choosing the Right Endoscopic Solution
The choice of an endoscopic solution depends on various factors, including the severity of GERD, the patient’s overall health, and the presence of any complications such as Barrett’s esophagus. A gastro surgeon in Ahmedabad will assess the patient’s condition and recommend the most suitable treatment option based on their specific needs.
Wrapping Up:
In conclusion, endoscopic solutions for GERD define a notable improvement in the management of this chronic condition. By offering minimally invasive procedures that effectively reduce symptoms and improve quality of life, these treatments provide a valuable option for surgery for many patients. If you or a loved one is struggling with GERD, consulting with a gastroenterologist in Ahmedabad can help determine if an endoscopic procedure is the right option for you. By staying informed about the latest treatment options, patients can take proactive steps toward managing GERD and leading healthier, more comfortable lives.
