Category Archives: GERD
You probably don’t know anyone that hasn’t experienced some sort of reflux. This may be caused by a large meal, particularly spicy food, strenuous activity shortly after a meal or even sleep shortly after eating. It happens to all of us once in a while. However, when simple acid reflux becomes chronic, this is when we diagnose it as gastroesophageal reflux disease or GERD.
GERD, on the surface, seems like a relatively innocuous problem that simply causes some discomfort after meals and could be managed with antacids or over the counter Proton Pump Inhibitors (PPIs). However, the problems that come with GERD run much deeper, especially if left untreated or undertreated.
When a patient comes in for a bariatric consultation wanting the gastric sleeve, we determine if they are currently suffering from moderate to severe acid reflux. This is because new or worsened acid reflux can be a side effect of the gastric sleeve procedure. While it may seem counterintuitive, after all bariatric surgery is supposed to eliminate the most common conditions associated with obesity, how the gastric sleeve changes the gastrointestinal anatomy is somewhat different from other bariatric procedures.
Zantac is one of the most commonly prescribed medications for gastroesophageal reflux disease/GERD or chronic acid reflux. While most patients experiencing occasional reflux can do quite well with antacids, like Tums, once acid reflux turns chronic, it becomes more difficult to manage and requires medical intervention. Typically, patients were put on one of two medications – both of which are available over the counter:
- H2 antagonists that block the histamine receptors in the stomach to reduce the amount of acid produced. Common brand names are Zantac (ranitidine) and Pepcid
- Proton Pump Inhibitors (PPIs) like omeprazole also block the production of acid in the stomach – brand names of omeprazole are Prilosec and Zegerid
Both options can be effective for many patients as a first line of defense against reflux.
Gastroesophageal reflux disease, more commonly known by its abbreviation GERD, is an all too common condition. Caused by dysfunction of the Lower Esophageal Sphincter (LES), which controls flow into the top of the stomach from the esophagus, chronic acid reflux can lead to frequent discomfort and long term damage to the upper GI system. With several contributing factors like diet, weight, age, and lifestyle, GERD can be difficult to manage. Patients often start with lifestyle modifications and oral medication like antacids and Proton Pump Inhibitors (PPIs). These, however, do not treat the dysfunction, only attempt to mitigate the symptoms of the LES failing. Surgical treatment is the only true corrective option for GERD. Read on below as we discuss the differences and benefits of the two reflux surgery options.