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...

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Proper acid reflux testing is a crucial element of any successful heartburn and GERD management program. Endoflip, functional luminal imaging probe, is a relatively new testing modality that is finding its way into clinical practice. Endoflip uses an inflated balloon that is positioned within the...

Nissen vs Toupet Fundoplication for Heartburn Treatment

Nissen vs Toupet Fundoplication for Heartburn Treatment

Rick from Houston sent us this question: My acid reflux doctor gave me the option of partial, 270 degree also known as Toupet fundoplication or complete, 360 degree wrap, also known as Nissen fundoplication. My doctor explained that Nissen fundoplication is sometimes a little difficult...

Functional Heartburn and Heartburn Pills

Louise from Houston asked us this interesting question: When pH, motility and gastric emptying tests come back negative, yet there is still heartburn and only partial response to a PPI, what does one do?  especially if one's eGFR is in the 40's.  Do you save...

Robotic Hiatal Hernia Repair for Severe Heartburn

Robotic Hiatal Hernia Repair for Severe Heartburn

Question of the week from Reginald in Houston: I had surgery for hiatal hernia in 2014. I re-experienced reflux after 15 months and began taking Omeprazole. This seemed to work. In the last 4 months other symptoms have begun and my surgeon had me go...

Heartburn Treatment Options in Houston

Heartburn Treatment Options in Houston

Question of the week from Grace in Houston: I have been on heartburn medications for 19 years since my gallbladder surgery in 2000. What else can help control my GERD? Dear Grace, Heartburn pills are neither the most effective nor the only treatment option for GERD. Indeed,...

Gastric Diverticulum and Heartburn Treatment

53-year-old male presents for evaluation of severe acid reflux related symptoms poorly responsive to medical treatment. His symptoms include heartburn and food regurgitation. Upper endoscopy revealed large hiatal hernia, distal esophagitis, and a posterior gastric fundus diverticulum measuring around 5 by 5 cm. The gastric...