Case of the Week: Recurrent Gastroparesis Symptoms

Jane is a pleasant 51-year-old female with history of idiopathic gastroparesis diagnosed in 2008. She underwent a subtotal gastrectomy with Billroth 2 gastrojejunostomy and insertion of feeding tube jejunostomy in 2009. Post-operatively the patient had difficulty tolerating per-oral diet for about 5 months. She was...

Is Keto Diet a Good Option for GERD Patients?

Jane, a GERD patient who happens to be a nutritionist and ketogenic diet advocate, presented to my office for evaluation of GERD related symptoms of several year duration. She is frustrated with her GERD symptom progression and severity over the past few years despite maintain...

Recurrent Heartburn after Nissen Fundoplication

Laparoscopic Nissen fundoplication is the most effective and reliable treatment for acid reflux disease. Nissen fundoplication durability is very high when workup and surgery are performed by expert reflux specialists. Therefore, most patients who present with recurrent or persistent heartburn after a properly performed Nissen...

Acid reflux, Bile reflux, and Gallbladder Surgery

Hello, I had my gallbladder removed a few years ago and am having a recurrence of bile reflux symptoms. I’m normal weight, don’t smoke, eat healthy and sleep elevated. PPI’s have no benefit. Is Ursodiol an appropriate medication to try? How often and how much? Thank...

GERD after Sleeve Gastrectomy

GERD after Sleeve Gastrectomy

Question of the week from Goldy: I am 4 months out of Gastric Sleeve surgery. While the weight loss results are wonderful, I'm constantly struggling with acid reflux. It affects every aspect of my daily life and is quite terrible. Omeprazole helped, but my doctor...

Nissen Fundoplication Durability

Praveen from Houston Asked us this question this past week: I’m 32-year-old and I have been suffering from GERD for almost 2 years now. I am considering the Nissen fundoplication to control my acid reflux. I don’t want to have multiple major surgeries, especially when...

Acid Reflux after Gastric Bypass Surgery

Question of the week from Katy in Houston: “I had RNY surgery 16 years ago. 2 months ago, I started with bad acid reflux. My PCP prescribed Prilosec 40 mg 1 a day in the morning and Zantac 300 mg 1 hour before bed. I've changed...

Esophageal Hypersensitivity and GERD

Sensory neurons within the esophagus wall detect mechanical and chemical stimuli like lumen distention, resulting in pain, and acid reflux, causing heartburn. Patients with a hypersensitive esophagus have a more intense perception for the same degree of stimulation compared to patients without a hypersensitive esophagus....

Transoral Incisionless Fundoplication after Band Removal

Transoral Incisionless Fundoplication after Band Removal

A 53 year -old female patient presented to Houston Heartburn and Reflux Center with severe GERD related symptoms of several year duration. She had a Lap Band placed for morbid obesity around 10 years ago. Patient had been over-restricted in hopeless attempt to promote weight...