Gastroesophageal Reflux is a disease caused by gastric fluid escaping back into the esophagus. It is one of the most common diseases worldwide. Contact with acid, bile or pancreatic fluids for a long time with the esophagus causes reflux disease. Complaints that usually start with burning in the rib cage increase after eating.
Reflux can be seen in some people, but the conditions that affect daily life are abnormal and need to be examined. If an inflammatory reaction is detected in the esophagus after endoscopy, gastroesophageal reflux is diagnosed.
Symptoms and causes of reflux
Burning sensation in chest and throat, bitter water in mouth, burping, feeling of fullness in the throat, bad breath, persistent cough, sensation of food during swallowing are symptoms of reflux.
Regular alcohol and cigarette smoking, irregular and fatty nutrition, rapid consumption of food are some of the causes of reflux. Pregnancy, diabetes and sudden weight changes increase the risk of reflux.
How is reflux treated?
Lifestyle changes and medication may be sufficient in people with mild onset complaints. Surgical treatment may be applied if the complaints cannot be controlled despite the medication, diet and precautions.
In surgical treatment, patient selection is made by looking at the patient's age, chronic diseases and medications.
Laparoscopic Nissen Fundoplication is the most common method in reflux surgery. Laparoscopic Nissen Fundoplication surgery is a process of creating a 360-degree valve device by entering the stomach at 0.5 and 1 centimeter small points without cutting the abdomen. In the surgery performed under general anesthesia, the food is pushed into the stomach by the forward movement of the esophagus and back escape is prevented and the entry of gastric acid into the esophagus is prevented. The average duration of the operation is 35–40 minutes. The patient can be discharged the next day. The success rate is 90% in this method.
The healing process
After discharge, the patient has no restrictions for activities such as walking and taking a shower. During the healing process, hard lifting or pressure on the stomach should be avoided. In the first week solid foods should be avoided and soft foods should be consumed. After the first week, physician checks are performed and the patient is informed about the subsequent process.