Question of The Week: Band to Sleeve Revision

Question of The Week: Band to Sleeve Revision

Stacy wrote: “I converted a band to sleeve and have had horrible reflux I take PPIs, with minimal relief…it's absolutely horrible. I converted because band slipped and kinked I traded one problem for another and paid for it all out of pocket. Help” Dear Stacy, Lap Band...

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...

Slipped Nissen Fundoplication

Slipped Nissen Fundoplication: Why Do We Still See It?

Nissen fundoplication surgery, when PROPERLY done, is the most reliable, safest, and most effective treatment for GERD. Any fundoplication surgery is performed with a concomitant hiatal hernia repair. The purpose of a hiatal hernia repair is not to simply close the hiatal opening, but rather...

PPI Use and Lupus erythematosus

Proton Pump Inhibitors, PPIs, have many serious side effects including early dementia, heart disease and kidney failure. Such adverse events are attributed to endothelial damage and vascular aging. Few weeks ago, a young GERD patient presented to my office with PPI induced subacute cutaneous lupus...

Question of the week: GERD Treatment Options

Question of the week: GERD Treatment Options I am 30 years old. I have had reflux for almost five years now. It used to be present mostly at night, so I used Zantac 150 mg every night for about 4 and a half years. Last year,...