Upper GI endoscopy. The most important diagnostic test to evaluate for the presence of Hiatal Hernia and rule out other pathology.
Forty-eight hour ambulatory esophageal pH testing to confirm the presence of abnormal acid in the esophagus.
Determines the force of muscle contraction in the esophagus.
An X-Ray test that is complementary to endoscopy and gives important information about the anatomy and function of the esophagus.
An intraluminal surgery performed through the mouth/inside the stomach to rebuild the gastroesophageal valve. Indicated for a small hiatal hernia. Can be performed along with laparoscopic hiatal hernia repair.
Magnetic Sphincter Augmentation of the LES. A bracelet of magnetized metal beads placed around the distal esophagus with laparoscopic surgery, to augment a weak lower esophageal sphincter. Can be used along with hiatal hernia repair or bariatric surgery.
The traditional standard for anti-reflux surgery and remains a useful option for some patients.
LAPAROSCOPIC HIATAL HERNIA REPAIR
Fixing the Foundation. Most patients with GERD have some degree of herniation of the stomach into the chest; it's essential that the stomach is restored to its normal position.
HERNIA REPAIR with Nissen
DESSERTS (Other Procedures)
GERD is a chronic and progressive condition and may require further treatment.
Sometimes dilation of the GE junction is needed after GERD surgery.