Endoscopic surgery to create an anti-gastroesophageal reflux valve

Gastroesophageal reflux disease (GERD) occurs when stomach acid regularly backs up into the tube connecting the mouth and stomach (esophagus). This acid solution can irritate the lining of the esophagus. Gastro-esophageal reflux occurs at least twice a week or if the disease is moderate to severe it can occur at least once a week. During swallowing, a circular band of muscle around the bottom of the esophagus (esophageal sphincter) relaxes to allow food and liquid to enter the stomach. Then the muscle sphincters and closes. If the sphincter relaxes abnormally or works weakly, stomach acid can back up into the esophagus. The constant backflow of this acidic solution irritates the lining of the esophagus and causes inflammation.

Gastroesophageal reflux disease often has common signs such as:
Burning sensation in the chest (heartburn), often occurs after eating, it is even worse at night night. Chest tightness Difficulty swallowing Inability to digest acidic foods Feeling of a lump in the throat If you have gastroesophageal reflux at night, you may experience symptoms such as: chronic cough, laryngitis esophageal , asthma , disrupted sleep...
Gastroesophageal reflux disease can be caused by factors such as: obesity, tension in the upper part of the stomach, tearing of the diaphragm wall, tissue disorders connective (scleroderma). There are also some factors that can make it worse, such as smoking, eating late at night, drinking alcohol or coffee, and taking certain medications (aspirin).
Gastroesophageal reflux disease can cause chronic inflammation if left untreated for a long time. It also causes complications such as narrowing of the esophagus, which is damage to the lower esophagus from stomach acid that causes scar tissue to form. Scar tissue will narrow the passage of food leading to difficulty swallowing, or cause esophageal ulcers - stomach acid can wear down tissue in the esophagus, forming open wounds, even causing pain in the body. and bleeding. Or precancerous esophagus - damage from acid causes changes in the tissue lining the lower esophagus and increases the risk of esophageal cancer.

Anti-gastroesophageal reflux surgery is not only for the treatment of gastroesophageal reflux disease, but is also used in conjunction with esophagogastric surgery to treat achalasia. This can prevent reflux from happening again.

The procedure of endoscopic surgery for the treatment of gastroesophageal reflux disease:
Before surgery: The patient is fully examined by basic tests, x-ray, abdominal ultrasound, endoscopic esophagitis, orally. Prophylactic antibiotics before surgery,.. Surgery: The doctor places a trocar. Then, create a space behind the esophagus and perform meticulous dissection. Then continue to expand the retroesophageal space up and down until a tunnel is created to create a valve. Creating an anti-gastroesophageal reflux valve: using the Nissen-Rossetti method to create a total anti-reflux valve. After surgery: Should check the whole for bleeding or other complications, deflate the trocar holes. Some complications can occur during and after surgery:
Bleeding is a common condition during surgery. Because the source of flow may be short gastric bypass or retroesophageal tunneling. It is necessary to determine the cause clearly so that the bleeding can be stopped in time. Left pleural perforation during tunneling. Peritonitis due to esophageal perforation or gastric dissection due to dissection. However, this complication is very rare. Esophageal stenosis is caused by the valve being made too tight. This condition is usually caused by temporary narrowing due to inflammation or postoperative edema. Can be treated by using anti-inflammatory drugs, edema. But if the narrowing is long, it may be necessary to dilate it endoscopically. Reflux esophagitis can recur because the valve is too wide. This usually occurs long after surgery. To overcome this situation, medical treatment can be done. However, if the disease does not improve, then surgery is necessary. The Department of Gastrointestinal Endoscopy is one of the key specialties at Vinmec International General Hospital. Register for a consultation HERE to prevent the risk and timely treatment of gastroesophageal reflux.
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