Best Treatment for Gastroparesis?

Best Treatment for Gastroparesis?

Question of The Week from Debbie in Houston: “I have gastroparesis and I am not responding to medication. My GI doctor recommended that I have pyloroplasty done. While I know this will not cure the gastroparesis, what other recommendations do you have to treat it? I...

A Cancer Linked Compound Found in Zantac

The FDA found a cancer causing chemical in Zantac, a popular heartburn medication that reduces stomach acid. Thousands of Houstonians use prescription and OTC Zantac to control their acid reflux symptoms. The carcinogenic contaminant known as NDMA, N-nitrosodimethylamine, was recently found in Valsartan, a blood...

Are You a Candidate for Nissen Fundoplication?

Are You a Candidate for Nissen Fundoplication?

Julia from Humble sent us this question: “If one is not a candidate for a Nissen Fundoplication due to poor motility and a previous Nissen, would it be possible to have Roux-en-Y gastric bypass surgery to alleviate reflux? Thank you.” Dear Julia, At Houston Heartburn and Reflux Center, very...

Does LINX Device Cause Chest Pain?

Does LINX Device Cause Chest Pain?

Amy and Rebecca from Houston Sent us these two heartburn acid reflux related questions over the past few days: Amy, “I have had the Linx procedure about 2 years ago and have suffered with chest pain many times. Feels like a heart attack and pain takes hours...

Nissen fundoplication and Dysphagia

Nissen Fundoplication and Dysphagia

“Clinical Significance of Esophageal Outflow resistance Imposed by a Nissen Fundoplication”, is a new study published by Demeester el al in the journal of the American College of Surgeons, JACS. Using esophageal manometry, the authors measured intrabolus pressure in normal subjects and in acid reflux...

Nissen Fundoplication Improves Quality of Life

Nissen Fundoplication Improves Quality of Life

“Laparoscopic Nissen fundoplication improves disease specific quality of life in patients with GERD and functional esophageal outflow obstruction” is a recently published study in Surgical Endoscopy. The authors demonstrate that functional esophageal outflow obstruction noted on manometry in acid reflux patients is not a contraindication...

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...