Surgery for GERD Lecture Powerpoint

Question 1

How is GERD diagnosed? (4)

Answer 1

• clinical presentation and relief of symptoms with PPI or H2 blockers
• barium swallow and x ray
• upper endoscopy (EGD)
• esophageal manometry (measure LES strength)

Question 2

When is surgery indicated for GERD? (3)

Answer 2

• incomplete relief with medical management
• development of barretts esophagus
• recurrent episodes

Question 3

Primary surgery for GERD

Answer 3

Fundoplication surgery (almost always laproscopically)

Question 4

Fundoplication procedure (and its 2 types)

Answer 4

Surgical procedure in which portion of stomach (fundus) is used to wrap around the LES to prevent reflux of gastric acid and fluid into esophagus to treat GERD,fairly quick with rapid recovery and minimal hospital times, either complete wrap around LES (nissen fundoplication) or partial (toupet fundoplication), has been shown excellent results and resolve damage to esophagus

Question 5

Fundoplication procedure complications (4)

Answer 5

• injury
• bleeding
• difficulty swallowing
• inability to vomit