GERD Surgery: Nissen Fundoplication for severe Gastroesophageal Reflux Disease
陈俊海医生
上消化道专科医生，双院士培训外科医生
MBBS （墨尔本），医学硕士（外科），FRCS（爱丁堡），FAMS（普通外科）
目录
Nissen Fundoplication for Chronic Acid Reflux
Frequent acid reflux and heartburn may indicate a chronic condition known as Gastroesophageal Reflux Disease (GERD).
When lifestyle changes and medications fail, surgical treatment becomes a viable option, offering long-term relief and reducing the risk of severe complications such as 食道癌.
What is Gastroesophageal Reflux Disease (GERD)?
Acid reflux occurs when stomach acids flow back into the oesophagus (food pipe). While occasional acid reflux is common, frequent symptoms may indicate a condition known as Gastroesophageal Reflux Disease (GERD).
GERD is a chronic condition that can cause lasting damage, including inflammation, ulceration, and narrowing of the oesophagus. In severe cases, it can lead to complications such as dysphagia (difficulty swallowing) and oesophageal cancer.
Common Misconceptions About GERD
Myth: "Acid Reflux is Common, Hence Not Serious"
Occasional acid reflux is common and usually harmless. However, when it progresses into GERD, it becomes a chronic condition that can cause ongoing damage to the oesophagus.
Severe GERD may lead to complications such as oesophagitis (inflammation), dysphagia (difficulty swallowing), and even oesophageal cancer.
Myth: "Only Unhealthy People Have Acid Reflux"
Many believe that acid reflux is limited to those who are overweight or have unhealthy habits.
In reality, GERD can affect healthy individuals too. This condition stems from a physical issue with the lower oesophageal sphincter (LES), which may occur due to factors like age, pregnancy, or persistent abdominal pressure.
Myth: "Medications Will Cure Gastroesophageal Reflux Disease"
Over-the-counter and prescribed medications can help manage GERD symptoms by reducing stomach acid, but they don’t address the root cause: a faulty lower oesophageal sphincter (LES).
This physical issue still allows stomach contents to reflux into the oesophagus.
Troubled by GERD symptoms? Discuss your treatment options with our doctor today.
概述
How Does Antireflux Surgery Help?
The goal of surgery for GERD is to provide a long-term solution and reduce the risk of severe complications, such as Barrett’s oesophagus and oesophageal cancer.
The procedure works by reconstructing the “barrier” between the stomach and oesophagus, effectively preventing acid reflux.
Laparoscopic Nissen Fundoplication for GERD
The surgical treatment for GERD often involves a procedure called 胃底折叠术. This is typically performed laparoscopically, using small incisions, which reduces post-operative pain and promotes faster recovery compared to open surgery.
GERD occurs when the valve (lower oesophageal sphincter) between the oesophagus and stomach doesn’t function properly, allowing stomach acid to reflux into the oesophagus.
Fundoplication addresses this issue by wrapping the upper part of the stomach (the fundus) around the lower oesophagus. This reinforces the barrier, preventing acid reflux and restoring proper valve function.
Acid Reflux Caused by Hiatal Hernias
A hiatal hernia may also be the cause of patients suffering from acid reflux. A hiatal hernia occurs when part of the stomach pushes into the chest, due to a weakness in the diaphragm. This puts pressure on the valve between the oesophagus and stomach, known as the lower oesophageal sphincter, hence making acid reflux more likely to occur.
Hernias don’t go away on their own and surgery is the only effective treatment. If a hiatal hernia is the cause of your acid reflux, your surgeon may carry out both a hiatal hernia repair and an antireflux surgery to treat your symptoms.
20 多年的临床经验
陈俊海医生
上消化道、减肥和普通外科医生
内窥镜与微创外科专家
陈春海博士是 受过双重培训的专家 在腹腔镜（锁孔）手术中 胃癌手术 和 减肥与代谢外科. .他精通微创外科技术，可治疗的疾病包括 胆结石, 盲肠炎, 胃食管反流病, 以及胃癌和食道癌等上消化道癌症。.
除外科手术外，陈医生还擅长进行以下手术 内窥镜检查 和管理各种消化系统疾病。这些疾病包括腹痛、腹胀、胃灼热和吞咽困难。.
在适当的情况下，陈医生会在确诊后几小时内提供当天治疗。谭医生赞同 微创疗法, 从而减少术后疼痛，缩短住院时间。.
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常见问题
GERD (gastroesophageal reflux disease) can increase the risk of developing oesophageal cancer over time:
Chronic acid reflux associated with GERD can lead to a condition called Barrett’s oesophagus, where the normal lining of the oesophagus is replaced with abnormal cells. These abnormal cells have the potential to develop into a type of oesophageal cancer called adenocarcinoma.
While not all individuals with GERD will develop Barrett’s oesophagus or oesophageal cancer, long-term untreated GERD increases the risk. If you have concerns, it’s advisable to consult an upper gastrointestinal specialist or gastroenterologist.
Oesophageal cancer is a disease in which cancer cells form in the tissues of the oesophagus (food pipe that runs from your throat to the stomach). Worldwide, oesophageal cancer is the sixth most common cause of cancer deaths.
Risk factors of oesophageal cancer include heavy alcohol use, smoking and Barret’s oesophagus (damage caused by acid reflux). Significant weight loss and painful or difficulty swallowing are some of the symptoms of oesophageal cancer.
Common signs of GERD include:
- A burning sensation in your chest known as heartburn. This usually occurs after meals, and can get worse at night or while lying down.
- Backwash (regurgitation) of food or sour liquids from the stomach into the oesophagus.
- Upper abdominal or chest pain.
- Difficulty swallowing, known as dysphagia.
Antireflux surgery can be a consideration when all other treatment options (medications) have been exhausted. Surgery offers a more sustainable treatment solution, preventing symptoms from recurring. It also reduces an individual’s risk of developing severe complications from GERD, such as cancer.
Antireflux surgery can also be an option for patients concerned with the side effects of acid reflux medications from long-term use.
A consultation with our surgeon starts from SGD 200, excluding GST.
The cost of antireflux surgery varies based on the specific procedure (e.g., Nissen fundoplication or hiatal hernia repair) and the complexity of the case. It includes considerations such as surgeon fees, hospital charges, and consumables.
For an accurate estimate, book an appointment with our doctor today.
Surgicare Bariatric and General Surgery is part of the specialist panel for most Integrated Shield and Corporate Insurance Plans.
To ensure your peace of mind, our staff is readily available to assist you with claims, financial estimates for your procedure(s), and treatment pre-authorisations.
If you have any questions, please do not hesitate to contact us.