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What do you think is best GERD surgery/procedure?

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GERD & Acid Reflux
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Posted 9/28/2020 3:24 AM (GMT 0)
Hi. In April 2020 I was diagnosed with sliding hiatal hernia 2cms, esophagitis, and GERD.

My understanding is the following options are for GERD:

• Transoral incisionless fundoplication procedure (TIF)

• open fundoplication / laparoscopic surgery

• Nissen fundoplication (also to repair hiatal hernia) surgery

• Endoscopic Injection of bulking agent surgery

• Endoluminal gastroplication surgery

• Endoscopic augmentation with Gidrogel implants surgery

• Endoscopic radiofrequency ablation surgery

• Laparoscopic insertion of a magnetic bead band (LINX) surgery

I’m taking RX’s Sucralfate 1GM tablets, one 4x per day on empty stomach 03 mins before food, Famotidine 40MG tablets, one 1x per day at bedtime, and Pantoprazole 40MG tablets one 1x per day 1 hour before first meal. Also taking supplements such as Betaine Hydrochloride with Pepsin 600mg tablets two with each protein meal, DGL Deglycyrrhizinated Licorice Root Extract chewable tablets, one 20 mins before each meal, Enzymedica Heartburn Relief chewable tablets 1-2 after each meal, Lily of the Desert Aloe Herbal Stomach Formula liquid 2-4 Tbsp (aloesorb, peppermint leaf, chamomile leaf, ginger root, slippery elm bark, fennel seed) taken 2 to 3 x per day 30 mins before food.

Acid keeps burning my esophagus too much.

I look forward to your thoughts. Thank you.
Posted 9/28/2020 10:51 AM (GMT 0)
Chatter:

We aren't medical professionals on this Board, but I had the Nissen Fundoplication and it was a complete success. I tell everyone that surgery should be a last resort. With the fundoplication, it is major abdominal surgery and it comes with a lengthy and sometimes difficult recovery. I didn't feel much better until 6 months post-surgery and the "new" me at one year. Your surgeon will suggest what surgery he feels is best for you, after a number of tests to evaluate whether you are a good candidate for surgery at all. You should also check with your insurance carrier as to what procedures they will cover and whether you have a deductible. There's a chance that some of the procedures you've listed may not be covered. BTW, you are taking a lot of supplements - is this something that you have discussed with your doctor?

Sharon
Posted 10/22/2020 8:12 PM (GMT 0)
Thank you for the insights Sharon. I’m leaning towards TIF procedure instead of Nissen Fundoplication. My insurance enables me to be a bit selective and consult with different surgeons. When it comes to TIF procedure, Nissen Fundoplication and Linx band, there’s numerous doctors with differing “for” and “against” opinions on all of these options. I must follow my instinct.
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