Acid Reflux Disease (GERD) - Treatment Options Explained By Dr J S Rajkumar, Lifeline Hospitals

**********

Dr.J.S.Rajkumar, the prolific laparoscopic surgeon from Lifeline Hospital Chennai (Tamil Nadu, India), popularly known as Dr.JSR, explains the acid reflux treatment options in detail.

**********

**********

The transcript....

Hello friends, this is Dr. Rajkumar from Lifeline Hospitals and I am going to be speaking to you today on treatment, especially surgical treatment options for a very common problem faced by millions of people - Acid Reflux Disease - otherwise known as GERD, Gastroesophageal Reflux Disease.

In the previous segment we discussed about the cause and today in this segment we will discuss about treatment. To know more about diseases like Gerd, acid reflux, stomach cancer and obesity, we would like you to subscribe to this channel to understand about yourself and about the various treatment options available.

Let's discuss today about surgical treatment options for Gerd. Does everyone with a heartburn require to be cartered to the operation table? Nope, we tend to evaluate patients based on how long they have had their acid peptic disease or Gerd and usually people who have suffered for at least two years, who have responded to PPI's or proton pump inhibitors like omeprazole, rabeprazole etc. - responded and then bounced back again with the heartburn and all of these patients are subjected to a 24 hour period study.

What is this study? It is a special study wherein we pass some fine acid sensors through a tube with the size of a hair right into the gullet and stomach.

These acid sensors collect data, valuable data for us over a 24 hour period so that we are able to understand. One, how much of acid is being secreted. Two, how much of it is coming backwards.
Three, whether it is accompanied by bile so that we can have what's called a combined acid and alkaline reflux. Four, whether the patient has significant symptoms at night the nocturnal refluxes or throughout the day etc.

Based on this data we calculate and we are able to evaluate which patient requires laparoscopic surgical treatment.

Let's talk about how we do this. Four or five small holes and even that nowadays we can do that even through a single hole so called single port surgery. We evaluate a patient's fitness for surgery then a laparoscopic surgical option is performed wherein we tighten up the muscle called the diaphragm through which the gullet passes so that there is a snug fit of the gullet. Then we take the stomach and wrap it around the gullet in such a way that the acid and the alkali are not permitted to come back upwards. The operations sounds complicated but is a fairly simple procedure and it takes me all of 25 or 30 minutes to perform.

Patients are usually home in a day or two and over the last 15 years, we must have performed close to 2000 such operations of whom more than 95% are permanently cured of their acid reflux symptoms. A small proportion come back requiring tablets to keep the acid under control. But overall this is an operation that rids the patient's severe heartburn symptoms, prevents the patients from having vomiting by preventing a Barrett's changes on the gullet its actually an operation that will prevent Esophageal cancer, prevents them from having laryngeal cancer and all the other complications that we earlier spoke about.

Thus in a well chosen patient with acid reflux disease or Gerd, if he is Evaluated and assessed pre operatively in a proper manner, he can have a fabulous relief of his symptoms and possibly prevent cancer by an excellent laparoscopic or minimally invasive surgical option.

To know more such stuff like this please do visit us and join us and subscribe on our YouTube channel and let me end by telling you that however complicated a problem appears solution can surprisingly be simple so visit us and find out that solution.

**********

[justinebourke]

My mother had chronic GERD and was on proton pump inhibitors for many years which caused many more health problems. She quit them and fixed her trouble by taking apple cider vinegar and vitamin d3 also eliminating sugar and processed food and taking probitics.

[magalaronald]

What are the recommendable medication before surgery

[kartarsingh]

I am suffering from Gerd for last 20 years

[SharifulIslam-rcce]

How long the surgery will work, life time or not? is there any symptoms will apear in future life? plzzzz answer sir.

[nafisiqbal]

here's several ideas for reducing heartburn naturally Ensure you consume enough water.cut down on tomato rich dishes eg pizza and pastaAvoid French fries and mashed potatoescut down on smoking, drinking alchol or caffeinated drinks(I read these and the reasons they work on Alinn heartburn relief site )

[abdulbashiraslami]

Where are you living Dr?india or somewherelse i have GERD since 10 years and i try everthing possible to solve it untill now no sucess.maby sergery is an option for me.if your so kind plz write your address.tanx

[ryananderson]

Since I read “pepe amazing plan” (Google it), I do think nothing will ever surpass it as a great wood working book. The text is easy to read and also the photos and drawings exceptional. I consider this book a "must have" because it supplies a broad range of information on just about everything working with wood working and does it very well.

[marcovlogs]

Dr.may acid reflux gerd.I suffer almost 4 years now.

[janardhanpapanna]

Pls give how much cost for GERD muscle taitaning

[joyjoan]

Dr J S thank you very much for teaching us, But for me my problem I also get that pain around my chest and at the back of my chest after eating acitdity things but when I take medicine it cools down, and this happens especially when I eat fried foods or acidity things like juice that has lemon in it, oranges and tea ginger.so I get it, and as per now I quit smoking for two weeks, but am feeling pain around my chest like are said it goes on my upper side of stomach and again up on the chest.so what do I do, should go for endoscopy for check up, or I continue to taking my medicine it will go away, (but it seems most things I eat I are not good my stomach.)

[dakotapowell]

I love this woodworking book “pepe amazing plan” (Google it). Not only does it cover woodworking techniques, however it even describes the expansion cycles of trees which lead to the characteristics that craftsmen find advantageous in lumber. I also gave my dad another copy.

[saranyasureshswethasaara]

rajikumar is killar my mom die weight loss surgery. plz dont go to hospital many people die in lifeline hospital

[skhan]

doctor same promblam here GERD how to cure permanently😓😒doctor pls help me

[cheduptamang]

Sir muje bhi bahut problem hai gas ki aur khana aur pani khane ki sat hi mo me nikal ti hai aur bahut heart mai pain aur jalan hota hai dabai bhi bahut li par thik nahai ho ra hai please suggest me what to do sir

[arunk]

Sir i am looking for fundoplication...is this the permanent solution for GERD..?

[afifahanas]

sir mujhe muh me paani aur oil ata hai kabi kabi ye mujhe 5 months se hai kabi kabi pura kaam hi hojata hai thode din se mujhe gale me jalan horahi hai plz tell me about it í have pcos and fatty liver grade 1

[khankhan-tlrt]

Dear Doctor, I have long standing problems of heart burning no medicine cure it, i want to come and see for surgery or what so ever you best think to cure my GERD symptoms, I am on PPI & H2 blockers since long which hurting me badly and can not even perform my duty due body pain, headache and depression, please advise me and reply please, i am from pakistan

[bluewindgau]

sir, your video was awesome ....do you help or answer online ?

[thingscommon]

Right before I considered utilizing this heartburn treatment method “Aυstin Samupko” (do Go ogle to find it), I was once a patient of heartburn, acid reflux disease and pain in the chest too. But they are all vanished. I also relieved my constant exhaustion and also skin rashes because of it. It feels like I am returning to my typical self over again, I am becoming healthy and fit..

[sandeepkumar]

Sir ji india me jyada public hindi Janti h hindi me batao