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Gastroesophageal reflux disease (GERD)

What is Gastroesophageal reflux disease (GERD)?

Gastroesophageal reflux disease or GERD is a digestive system disorder where contents including acid in your stomach leak back up to your esophagus repeatedly over time resulting in discomforts and irritable sensations.

If you feel unwell repeatedly from reflux and/or you have repeatedly taken over-the-counter medicine for heartburn with little or no improvement, seek medical care to accurately examine the cause and treat the condition.

Obesity
Pregnancy
Smoking
Eating large meals or late at night
Hiatal hernia – a condition where the top of the stomach bulges through an opening in your diaphragm

Sour taste from food or liquid regurgitated
Heartburn
Coughing
Vomiting
Sore Throat; Hoarseness
Problem Swallowing

Diet and lifestyle changes can be tried to help lessen the symptoms of GERD

Eat in smaller servings
Eat slowly and take time to chew
Avoid smoking
Maintain healthy weight (Normal BMI)
Avoid fatty food, chocolate, caffeine, and alcohol

Medications can be used if symptoms persist

Antacids
Acid Production Blockers (Proton Pump Inhibitors; H2 blockers)
Prokinetics

Surgery [ขอข้อมูลจากศูนย์สำหรับวิธีที่สามารถทำได้]

Laparoscopic antireflux surgery (or Nissen fundoplication) is the standard surgical treatment. It’s a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach (the fundus) around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food won’t reflux back into the esophagus.
LINX device implantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.

Gastroesophageal Reflux Treatment

GASTROENTEROLOGY & HEPATOLOGY CENTER

more details

Gastroesophageal reflux disease (GERD)

What is Gastroesophageal reflux disease (GERD)?

Obesity
Pregnancy
Smoking
Eating large meals or late at night
Hiatal hernia – a condition where the top of the stomach bulges through an opening in your diaphragm

Sour taste from food or liquid regurgitated
Heartburn
Coughing
Vomiting
Sore Throat; Hoarseness
Problem Swallowing

Diet and lifestyle changes can be tried to help lessen the symptoms of GERD

Eat in smaller servings
Eat slowly and take time to chew
Avoid smoking
Maintain healthy weight (Normal BMI)
Avoid fatty food, chocolate, caffeine, and alcohol

Medications can be used if symptoms persist

Antacids
Acid Production Blockers (Proton Pump Inhibitors; H2 blockers)
Prokinetics

Surgery [ขอข้อมูลจากศูนย์สำหรับวิธีที่สามารถทำได้]

Laparoscopic antireflux surgery (or Nissen fundoplication) is the standard surgical treatment. It’s a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach (the fundus) around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food won’t reflux back into the esophagus.
LINX device implantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.