The prestigious Surgeon General and expert in laparoscopic surgery of gastroesophageal reflux below explains this technique and causes stomach acidity.
¿What is GERD and what causes it?
The gastroesophageal reflux disease is a relatively rare pathology that we observed approximately 7 or 10% of the population. Its importance varies greatly. Some patients have heartburn after heavy meals but in other cases a burning sensation in the esophagus appears and eventually in chronic reflux situation can lead to the appearance of a burn esophagus who call reflux esophagitis.
¿What causes it?
In the normal situation exists at the level of the hiatal region a series of anchoring mechanisms and anatomical sphincter and mechanism that is preventing gastroesophageal reflux. There are two situations in which this may occur. Firstly when the sphincter mechanism in the esophagogastric junction fails, we see that the acidic content of stomach tends to rise upwards causing reflux. The other situation in which the same may occur when there is a hiatal hernia. In these cases, the esophageal hiatus has lost its anatomical anchors and acid content of the stomach up causing reflux and also, therefore esophagitis.
¿are the goals of this surgery?
objectives of gastroesophageal reflux surgery are basically two. Firstly it is to replace the hiatal region in its anatomical situation, but also we need to establish a mechanism so that stomach acid reflux can not ascend into the esophagus.
¿, consisting in the intervention?
The intervention to treat gastroesophageal reflux is a nissen fundoplication who obviously performed laparoscopically. What we do in this intervention is to close the thick skirt and otherwise use the bottom of the stomach to establish a mechanism that prevents stomach acid can rise and still maintain the burn.
¿, is a definitive solution?
The intervention anti reflux is a ultimate solution in a very high percentage of cases. We estimate the percentage of excellent results is around 95% and the complication rate is extremely low, especially with the use of laparoscopy.