Best Laparoscopic Hiatus Hernia Surgeon in Delhi- Dr. Sushant Wadhera

The stomach acid and sometimes even food in the stomach comes back into the food pipe (ESOPHAGUS).

Acid Reflux leads to  Heartburn, Acidity, Excessive burping, bad breath, hoarseness of voice and  recurrent throat infections.

RECURRENT SORE THROAT AND PAIN IN THROAT DUE TO ACID REFLUX INJURY

ACID REFLUX LEADS TO HEARTBURN AND BURNING SENSATION IN THE CENTRE OF THE CHEST

It may worsen at night and may cause a  choking sensation which wakes up the patient from sleep feeling very scared.

Gastro Esophageal Reflux Disease (GERD)

If acid reflux symptoms happen more than twice a week, you have GERD

The Commonest cause is  weakness of the one way circular muscle valve  called Lower Esophageal Sphincter  (LES)  in the lower part of the  food pipe and  entrance to the stomach which closes as soon as food passes through it.

If the LES doesn’t close all the way or if it opens too often, acid produced by your stomach can move up into your esophagus.

The commonest cause of a Loose LES is due to a Hiatus Hernia.

Other  important causes  of  GERD are  OBESITY and PREGNANCY.

Also dietary and  lifestyle  habits  cause  GERD, most importantly

Excessive  alcohol, carbonated  drinks, excessive  coffee and  tea

Smoking

Eating  heavy  meals just  before bedtime or exercising  after  a big  meal.

SHOWS GASTRO ESOPHAGEAL REFLUX DISEASE

Hiatus Hernia

This  is  a condition where  there is widening of diaphragmatic opening between the chest and  abdomen.

The upper part of the stomach and LES move above the diaphragm.

Normally, the diaphragm helps keep acid in our stomach.

But if you have a hiatal hernia, the acid can move up into your esophagus and lead to GERD.

PROBLEMS OF  GERD

• Risk of Acid ESOPHAGITIS (inflammation)
• BARRETS ESOPHAGUS (PRE-MALIGNANT condition in which there are  changes  in the esophageal lining due to chronic acid  damage)
• ESOPHAGEAL CANCER.

Apart  from changes and  symptoms of the  food  pipe, people  have  other  symptoms  like  bad breath  sore throat, voice changes, choking sensation while sleeping

Tests  to be Done before Acid Reflux Surgery  and Hiatus  Hernia Surgery

• Upper GI Endoscopy to confirm the diagnosis  and assess the  damage of the esophagus.
• 24 hour  pH metry  to see and  to decide  whether patient needs medical or surgical treatment)
• ESOPHAGEAL MANOMETRY  to rule  out  other peristaltic  disorders of the  esophagus.

TREATMENT OF GERD

First  line  management

• Medicines
• Life  style  modifications  in early  cases.

Surgical Management 

• Most  effective tool for GERD
• Addresses  both the problems  of weakening of the  LES and the  pressure  gradient across the LES

Most  common  surgery  performed is  a Hiatal Hernia Repair with a  Fundoplication

These  are  done  using  minimally  invasive  techniques ( Laparoscopic / Robotic Surgery).

These  ensure  a faster  return to  normal life and ensures  an excellent quality of  life.

ACID REFLUX SURGERY USING MINIMAL ACCESS TECHNIQUES

ACID REFLUX SURGERY

WHO ARE  THE CANDIDATES  FOR SURGERY

• Young  patients  not  wanting to take long term medicines
• Esophagitis  not responding to medical management
• Barrets Esophagus confirmed on Endoscopy
• Extra Esophageal  Symptoms ( recurrent sore  throat, chest  infection, voice  changes etc.)

To consult with best acid reflux doctor in Delhi book your appointment now