Esophageal Kinking, Heartburn and Hiatal Hernia Surgery

Esophageal Kinking, Heartburn and Hiatal Hernia Surgery

Once or twice a year a GERD patient presents to Houston Heartburn and Reflux Center with heartburn and sometimes dysphagia following hiatal hernia repair and Nissen fundoplication performed around the Houston area. Recently, I have treated two patients with similar presentation following sleeve gastrectomy and...

Severe Acid Reflux Disease and Gastroparesis

Sandy from Houston sent us this question: “I have a hiatal hernia and have been taking Omeprazole 40mg each morning and 300mg Ranitidine at night. I now have a very bad case of gastroparesis. I don't see my GP until mid-August but was wondering if...

Acid and Bile Reflux following Stomach Surgery

Acid and Bile Reflux following Stomach Surgery

I read with great interest the recent study “Esophagogastric junction function and gastric pressure profile after minigastric bypass compared with Billroth II” published in SOARD journal. The authors compared two small group of patients each containing around twenty patients. First group consisted of obese individuals...

Your Diet after Nissen Fundoplication

When and what can I eat after Nissen fundoplication surgery for heartburn is a very common question. At Houston Heartburn and Reflux Center we have adopted a dietary guideline for our patients to follow after Nissen fundoplication surgery. Following anti-reflux surgery, the distal part of...

When to Stop PPIs after Nissen Fundoplication?

Acid reflux patients often wonder when does heartburn go away after Nissen fundoplication? The short answer is immediately.  Properly performed hiatal hernia repair and Nissen fundoplication restore a competent anti-reflux barrier. Consequently, acid reflux patients who have taken PPIs for years are consulted to stop...

Nissen Fundoplication for Acid Reflux treatment

Nissen Fundoplication for Acid Reflux treatment

Nissen fundoplication surgery, when properly performed, sets the bar quite high in terms of our expectations for new treatment modalities for acid reflux disease. Heartburn patients with objective evidence of acid reflux who undergo Nissen fundoplication and hiatal hernia surgery at Houston heartburn and Reflux...

Heartburn Pills Raise Risk of Liver Cancer

Heartburn pills like proton pump inhibitors, PPIs, are associated with a number of serious side effects including renal disease, early dementia and heart problems. A recent study shows that the use of heartburn pills like Prilosec and Zegerid increases the risk of primary liver cancer...

Heartburn, Smoking and Barrett’s Esophagus

Heartburn, Smoking and Barrett’s Esophagus

Mike from Houston sent us a question this past week: “I was diagnosed with Barrett’s esophagus in 2010. I stopped smoking and have lost around 40 pounds. I was started on Nexium 40 mg daily. I have had regular upper endoscopies since 2010 and they...

GERD Surgery in Houston: When and Where?

GERD Surgery in Houston: When and Where?

GERD surgery in the form of laparoscopic hiatal hernia repair and Nissen fundoplication is the most reliable treatment for severe acid reflux disease, but only in the hands of the expert. Expert acid reflux surgeons at Houston heartburn and reflux Center dedicate their practice to...