A Systematic Review of Nonpharmacological and Nonsurgical Therapies for Gastroesophageal Reflux in Infants

This blocks the nerves that respond to refluxed acid. The scar tissue that forms also helps strengthen the surrounding muscles. This is the standard surgical treatment for GERD. It tightens and reinforces the LES.

Surgical instruments are inserted through the incisions, including a flexible tube with a small camera. Once the surgeon is able to see the area they will strengthen the LES by wrapping the upper stomach around it. Using the EndoCinch device, which resembled a miniature sewing machine, the doctor stitched the fold of tissue just below the LES.

Most people required two or more stitches to strengthen the LES and prevent backup of stomach acids into the esophagus. A surgery known as EndoCinch endoluminal gastroplication (ELGP) was a treatment option for GERD.

These GERD treatments either neutralize or decrease the production of stomach acid. These drugs include over-the-counter antacids such as Tums® and H2 blockers such as Zantac® and Pepcid®, and the most powerful prescription acid suppressants called Proton Pump Inhibitors (PPIs), such as Nexium®, Prilosec® and others. Surgery used to treat acid reflux is called laparoscopic fundoplication, in which doctors take the top of the stomach and wrap it around the lower part of the esophagus to create a barrier for acid reflux. GERD-a condition in which acid from the stomach backs up into the esophagus-is typically treated first with medications such as proton pump inhibitors, according to background information in the article. However, it may be difficult for patients to comply with or afford long-term drug therapy, and GERD returns more than 80 percent of the time when medication is discontinued.

Millions of people spend years on powerful drugs to keep their symptoms in check, but a non-surgical procedure is giving them freedom from their disease and their medications. Dealing with occasional heartburn is one thing, but living with debilitating acid reflux disease is another.

Aurora Medical Center in Summit is one of several sites currently participating. The trial is approved for up to 10 sites in the United States. These are usually the first things your doctor will do. He’ll put a flexible tube, called an endoscope, through your mouth and into your esophagus and stomach.

acid reflux nonsurgical

They can heal the esophageal lining in most people with GERD. Doctors often prescribe PPIs for long-term GERD treatment. An open sore in the esophagus (esophageal ulcer). Stomach acid can wear away tissue in the esophagus, causing an open sore to form. An esophageal ulcer can bleed, cause pain and make swallowing difficult.

The most simple and safest option is modification of a patient’s lifestyle. This is a great option for heartburn treatment.

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