what is laparoscopic anitireflux Surgery?
Antireflux Surgery (also known as Fundplication) is the standard surgical method of treating gastro-oesophageal reflux disease.
Reflux disease is the result of acid refluxing from the stomach backup into the oesophagus. This causes Inflammation and pain(heartburn).Normally there is a barrier to acid reflux. Part of this barrier is the lower-most muscle of the oesophagus (called the lower oesophageal sphincter). Most Of the time this muscle is contracted,which closes off the oesophagus from the stomach.
In patients with reflux disease,the sphincter does not function normally.The Muscle is either weak or relaxes in appropriately.
Fundoplication is a surgical technique that strengthens the barrier to acid reflux when the sphincter does not function normally.
Who needs Antireflux Surgery?
The vast majority of patients with reflux disease responds well to appropriate acid suppressing drugs and do not need surgery. However, for a small group of patients surgery can be helpful. There are three main reasons patients wish to have surgery:
- Failure to respond satisfactorily to adequate doses of medication
- Intolerable side effects from medication
- A desire to free of long-term medication
What does surgery involve?
If the operation is being carried out for the first time, it is nearly always achieved using keyhole techniques (laparoscopic surgery). Compared to open surgery, which involves a larger incision, the laparoscopic method leads to a speedier recovery and less post operative pain.
The surgeon will make 3-4 small cuts in your abdomen and insert instruments to carry out the operation. A harmless gas (Carbon Dioxide) is used to inflate your abdomen to make space for the operation to be performed. This will disperse naturally after the operation.
Most patients have hiatus hernia associated with their reflux disease and repair of this hernia is undertaken at the same time as antireflux surgery. The hernia sac is pulled down from the chest and stitched so that it remains within the abdomen. Additionally the opening in the diaphragm, through which the oesophagus passes from chest into abdomen is tightened.
During the procedure the part of the stomach that is closet to the entry of the oesophagus (the fundus of stomach) is gathered, wrapped and stitched around the lower end of the oesophagus. This procedure increases the pressure at the lower end of the oesophagus and thereby reduces acid reflux. This wrap (or fundoplication) produces a kind of one-way valve from the stomach into the oesophagus that we call the procedure antireflux surgery. The operation usually takes between 1 and 11/2 hours
You will have a general Anaesthetic – this means you will be asleep though out the operation. More details about the anaesthesia will be given to you at your Pre-Opearative assessment visit and by the anaesthetist on the day of surgery.
How long will I stay in hospital?
You will normally stay in hospital for 2-3 days.
What are the possible complications?
All operations carry the risk of problems and side effects.
Specific risks connected to this procedures are:
- Injury to the oesophagus, Stomach, blood vessels and nearby organs. These complications are rare and the surgeon may convert to open surgery to repair any damage
- 1% of patients (1 in 100) may need further corrective surgery to reduce persistent difficulty m swallowing and/or abdominal bloating
Common side effects
- The most common side effect is difficulty in swallowing. This is common immediately after operation and gradually improves. The amount of food you consume may be less and you may have to eat more slowly than you did before the operation
- Other common side effects are burping and increased wind (flatus) Most of these symptom settle with timeAre there any alternatives?
Antireflux surgery is the only treatment that can correct the anatomical abnormalities that lead to reflux. Surgery is generally recommended when other treatments have not been satisfactory. These include:
Acid suppressing drugs (such as Omeprazole or Lansoprazole) to reduce acid reflux (these work by reducing or neutralizing the acid in the stomach or making the stomach empty faster) However to control your symptoms these may need to be taken regularly for the rest of your life
Endoscopic techniques: These involve altering the oesophageal opening into the stomach through an endoscope. Currently these techniques are experimental and only performed as part of research trials
Lifestyle changes such as losing weight, avoiding foods that contribute to acid reflux and stop smoking
How long does it take to fully recover after Antireflux surgery?
Most patients do not have pain as such after laparoscopic surgery, rather just some abdominal and chest discomfort, many patients do experience some degree of discomfort in their shoulders after the procedure. As the surgery has been performed laparoscopically you will need to stay in the hospital for only 2-3 days.
Because of the lack of any wound pain by the time you go home you may well think you are able to act as though you have not had an operation, neverthless you will find that you get tired easily and you may even wish to have a sleep in afternoon for a few days. We also ask the patients to avoid heavy lifting for at least 2-3 weeks.
You can return to work as soon as you feel well enough. This will depend on how you are feeling and the type of work that you do. Typically you will need two to three weeks off work.
You should not drive for at least 7-10 days after surgery.
what can I eat after surgery?
Stage 1 – Clear Liquid Diet
Immediately after 6 hours after surgery Avoid carbonated drinks for 3-4 weeks
Stage 2-Soft Diet:
- Start soft diet day after surgery, continue at this stage for 3 days after surgery or as tolerated
- Limit gas forming/irritating foods like coffee, alcohol, onions, fatty and oily foods, Raw vegetables etc
- Avoid breads, biscuit, pancakes and toast
- No carbonated drinks
Stage 3 – Transition to regular diet
- Start about 3 days after surgery • Soft diet as above
- Introduce more challenging foods one at a time
- If they cause symptoms avoid them and reintroduce them at a later date
- Drop back to stage 2 as needed for bloating or difficulty swallowing
- No carbonated drinks for 3-4 weeks (soft drinks)
Stage 4 – Regular Diet
Start 3 to 6 weeks after surgery
Further Information / Question
If you have any questions or concern about the information,
Surgery Reception – (02692) 288215
Dr. G. M. Mannari – 9825046137
Dr. Apurva Patel – 9825754862
“Prevention is better than cure”, as goes the age old saying. Health checkup has now become an integral part of healthcare and Anand citizens are equally aware of that. These preventive checkups pick up life threatening diseases at a very early stage.
Preventive Health Check Up Packages In Anand
The health of you and your loved ones is the one of the most precious gift in life. To protect this, and to prevent the onset of disease and illness, it is important that you build the foundation of a strong protective wall. With IRIS Hospital health check up packages, you can now have the defensive system that will help secure your health.
IRIS Hospital provides Health Check up facility not only for people of Anand but for those staying in nearby villages of Charotar.
IRIS Hospital is a leading multispeciality hospital in Anand. It’s also a joint venture of eight surgeons from varied surgical specialities like General & Laparoscopic surgery, Orthopaedics & Joint replacement surgery, Spine surgery, Head & neck surgery and Maxillofacial surgery. Though all the surgeons are from different surgical specialities, but there is one common vision amongst all 8 surgeons, the vision of providing state of the art healthcare facilities in imparting solace to the sufferings of all the strata of the society at affordable cost. The team is a perfect blend of experience and expertise of senior surgeons with the enthusiasm and dynamism of slightly younger surgeons.
The IRIS hospital is a 100 bedded hospital located in Anand city. It is away from the stuffy and noisy environment of the city. The Hospital is spread around a 3000 square meters land, amidst peaceful and natural surroundings, to provide a conducive atmosphere perfect to promote healing and instigate a sense of well-being amongst all patients coming to the hospital. The hospital is equipped with 6 state of the art operation theatres with all the latest and modern surgical gadgets, a 8 bedded state of the art Intensive care unit to manage all kinds of critically ill patients, a 6 bedded Trauma & Emergency unit to cater all kinds of surgical and non-surgical emergencies and a fully equipped laboratory and radiological services. There are separate general wards for male and female patients, special rooms and suite rooms to cater the needs of all strata of the society. In a nut shell it’s a multispecialty hospital that provides comprehensive healthcare under one roof.
IRIS Hospital has the following “Preventive Health Check-Up” facilities at its premises. Now you or your entire family can undergo complete body check-up under one roof. This is a half day program which is professionally managed with trained staff taking care of your valuable time. We assure you that all your queries related to your health will be surely addressed to your satisfaction and in a prompt manner.
We have the following health checkup packages at IRIS each designed to suite a specific healthcare need based on your age and many other vital parameters.
- IRIS Platinum
- IRIS Gold Plus
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Kindly contact our front desk staff to guide you to select a health checkup package that wills suite your needs.
Thanks to modern medicine, diseases that were previously thought incurable can now be treated. Such preventive health checkup programs help in early detection of all types of illnesses and risk factors. Regular health check-ups help to assess a person’s health, increase awareness about potential threats and provide an enormous amount of reassurance.
The main aim of our health check-up packages is to help you detect and tackle diseases before they become untreatable. One unique thing about our health check-up program that keeps us above all health checkup programs in Anand, is that it comprises consultation with experienced and senior doctors of various specialties. This will make your health checkup more effective like a cherry on the ice cream.
For more information on health checkup programs at IRIS Hospital please contact our front desk staff and always book a prior appointment to avoid any inconveniences.
Felicitation of Dr. Rahul K. Thakkur at Head Neck Oncology meeting by President Dr. Moni NH Bangalore and Secretary Dr. Pai TMH Mumbai
Free Dental Screening Camp @ IRIS Hospital
Date: 20/07/16 to 20/08/16
We solicit your gracious presence to The Inauguration Ceremony of our dream Multi-Specialty IRIS Hospital
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