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,...

Question of the week regarding Barrett’s esophagus

Question of the week regarding Barrett’s esophagus

Question of The Week Lori from Houston has a question regarding Barrett’s esophagus: “I have stage 4 GERD plus Barrett's and would appreciate any additional info you can provide. I recently turned 60, and my dad and his sister both died of esophageal cancer and stomach cancer”. Dear...

Are You Contemplating Sleeve Surgery in 2018

Are You Contemplating Sleeve Surgery in 2018?

Eighty percent (80%) of obese patients have acid reflux disease. Weight loss is associated with improvement and sometimes resolution of GERD related symptoms. The most effective weight loss solution, in 2018, remains weight loss surgery. Gastric sleeve surgery is the most commonly performed procedure in...

Why Is GERD a Progressive Disease?

Gastroesophageal reflux disease is a multifactorial problem that tends to get worse with time. GERD patients start with occasional symptoms like heartburn and food regurgitation once or twice a month. This is the first stage of GERD. Symptoms are effectively controlled by lifestyle changes that...

Proton Pump Inhibitors Mortality Risk

An open access observational study has been recently published in BMJ about the risk of death among users of proton pump inhibitors, PPIs. The authors used administrative data from the US department of Veterans Affairs. A cohort of 349,312 patients were included. The analysis showed...

Houston Acid Reflux Revision Surgery

Revision Acid Reflux Surgery

Nissen fundoplication and hiatal hernia repair procedure, when properly performed, is the most reliable, effective and safest treatment for acid reflux disease. The advent of laparoscopy has allowed the reflux surgeon great visualization of the gastro-esophageal anatomy. Consequently, the distal esophagus became more accessible to...