Treatment for GERD in Turkey

Gastroesophageal reflux disease (GERD)

GERD occurs as a result of stomach acid backing up into the esophagus, which causes unpleasant symptoms that require treatment. Fortunately, Turkey has become one of the best countries to do GERD surgey.

What is gastroesophageal reflux disease?

Gastroesophageal reflux disease (GERD) is defined as the backflow of stomach acids into the esophagus as a result of inadequate closure of the lower esophageal sphincter, which leads to stomach acid passing the opposite way through the esophagus to the mouth.

Gastric acid reflux, or heartburn occur naturally for everyone from time to time, but if it occurs continuously and repeatedly for a long time, this may indicate GERD.

So the main cause of GERD is a defect at the level of the lower esophageal sphincter.

Causes of GERD

In the case of GERD, the lower esophageal sphincter does not close properly or opens frequently outside eating times, either because of low esophageal sphincter pressure or because of frequent relaxation of the sphincter or because of high pressure within the abdomen where there are some factors that contribute to this, including:

  • Some foods cause low esophageal sphincter pressure (chocolate and spicy foods)
  • Some medications cause relaxation of the lower esophageal sphincter (nitroglycerin).
  • high intra-abdominal pressure (obesity or pregnancy and chronic constipation)
  • Delayed emptying of stomach contents
  • Hiatal hernia Which leads to high pressure in the abdomen

symptoms of GERD

GERD patients suffer from many symptoms, the most important of which are:

  • Heartburn is the most common symptom of GERD (a painful burning feeling in the chest).
  • Frequent regurgitation or acid returning to the mouth
  • Difficulty swallowing
  • hoarseness
  • chronic cough
  • Throat and chest pain
  • inability to sleep
  • bad taste 
  • Constant crying and refusal to eat for children

Treatment for GERD in Turkey

GERD can be treated in several ways, depending on the severity of the condition and the patient's wishes. It is possible that GERD can be treated at home through medications, or a surgical procedure can be used to relieve symptoms and improve the quality of life for the patient.

Diet and lifestyle changes

It is the first line of treatment for patients who are able to make lifestyle modifications such as:

  • Weight loss (in case of obesity)
  • Avoid foods that lower the pressure of the lower esophageal sphincter (such as chocolate and fatty food)
  • Avoid eating before going to bed
  • Do not eat large quantities of food
  • Quit smoking and alcohol

Medications for gastroesophageal reflux disease

If lifestyle changes do not improve the patient's condition, the doctor will prescribe medications to relieve symptoms.

the best drugstore treatment for GERD and gastritis is:

Antacid drugs

It is the basic medical treatment of GERD, as it is given after each meal and before bed. It works by reducing the acidity of the stomach, which relieves the patient from the symptoms of GERD. The two most common types of antacids are H2 receptor blockers and proton pump inhibitors (PPI).

GERD surgery in Turkey

When the patient does not respond to previous treatments and the symptoms of GERD become worse, surgical methods are resorted to for treatment.

In fact, the surgical techniques that are used to treat GERD have developed throughout history. Currently, the surgery is performed laparoscopically, which has a quick recovery time and a very low risk.

We in Bimaristan Medical Center ensure that you get the best medical treatment available in turkey, you can contact us anytime if you need more details about GERD. one of the most important methods used For permanent treatment of gastroesophageal reflux disease are one of the following:

Transoral fundoplication (TIF)

it is considered as a safe and effective technique to treat GERD, this surgery does not involve making any incisions, but is entered through the mouth, where the lower esophageal sphincter is reconstructed by bending part of the bottom of the stomach using an advanced device.

This procedure usually come with no complications, no surgical incisions, and a short recovery time. The surgery takes about 50 minutes, and the patient can return to his normal life within several days.

Transoral fundal flexion (TIF), which is performed without surgical incisions, where entry is made through the mouth and then flexion of the stomach fundus around the esophageal sphincter through an advanced device, which is one of the modern methods of treating GERD in Turkey
This image shows the device used to treat gastroesophageal reflux disease surgically by bending the stomach fundus, which is inserted through the mouth.

Laparoscopic surgery

With this process, the doctor makes small incisions around the abdomen and then inserts the endoscope (a tube containing a camera) and with some tools and by directing thefor binoculars He bends part of the upper stomach around the lower esophageal sphincter and then the incisions are closed.

This procedure has a faster recovery, less pain, and short hospital stay.

Nissen surgery for GERD

With this procedure, the doctor makes a large incision in the abdomen and then manually bends the upper part of the stomach around the lower esophageal sphincter.
This surgery requires a longer recovery period and a long hospital stay, and the risk of complications are higher than laparoscopic surgery.

The Nissen procedure, which is used to treat GERD by bending the upper part of the stomach around the lower esophageal sphincter, which increases the pressure of the lower esophageal sphincter and prevents reflux
The picture shows fundoplication of the stomach (Nissen operation), which is used in the treatment of reflux esophagitis

Installing a LINUX device

This device is like a ring made of titanium beads with a magnetic ring in the middle, which is surgically placed through the endoscope around the lower esophageal sphincter.

The device works to raise the pressure of the sphincter to prevent food from returning to the esophagus, and at the same time, the ring does not affect the passage of food from the esophagus to the stomach.

After GERD surgery

The patient may experience temporary sore throat after surgery that lasts for a day or two.

After surgery, the patient will need a nasogastric tube (NGT) temporarily to remove secretions from the stomach during the recovery time.

The patient may need a temporary intravenous leak so that he can eat again, as the patient does not eat anything before passing gas or defecate to ensure the safety of the digestive system. The recovery period depends on the type of surgery that is open or using endoscopy.

GERD complications

Esophageal reflux, if left untreated, leads to complications that may be dangerous because the esophageal epithelium cannot tolerate acid, which causes constant irritation of the esophageal epithelium. We mention some complications related to GERD:

  • Erosive esophagitisinflammation occurs due to necrosis of the superficial layers of the esophageal mucosa with acidic gastric secretions.
  • Barrett esophagus: As a result of continuous irritation of the esophageal mucosa with acid, the esophageal epithelium changes as the columnar epithelium replaces the normal stratified squamous epithelium.
    Barrett's esophagus is the most dangerous complication of GERD, as Barrett's esophagus increases the risk of esophageal cancer .
  • esophageal stenosis: Occurs as a result of the continuous irritation of the esophageal mucosa with acid, the mucosa is repeatedly renewed and collagen is deposited during the regeneration phase, which eventually leads to the addition of the oesophageal cavity.
Esophagitis on upper gastrointestinal endoscopy, and oesophagitis is a common complication of GERD
This picture shows the inflamed oesophageal mucosa as a result of continuous contact with recurrent gastric acid

GERD diagnosis

The clinical history of the patient and the symptoms play the most important role in making the diagnosis of GERD, and a distinction must be made between normal acid reflux that occurs from time to time and gastroesophageal reflux disease. The following methods help to approach and study the complications that occur:

  • response to antacids: The doctor prescribes antacid medications and asks the patient to see the doctor after a period of time in case the patient suffers from GERD and his symptoms do not improve, i.e. he does not respond to these medications.
  • upper endoscopyAn endoscope is inserted through the mouth, which is a flexible tube that holds a camera at the bottom. This method is used to exclude other causes or to detect possible complications of GERD, where the tissue of the esophagus and stomach is seen, and a biopsy can be taken from the esophagus to study possible pathological changes.
Upper GI endoscopy, which is one of the most important diagnostic and therapeutic tools used in digestive diseases
This picture shows the process of gastrointestinal endoscopy, which is useful in diagnosing hiatal hernia, GERD, and many digestive diseases.
  • pH studyIn this method, sensors are placed in the esophagus to study the pH, where a tube is inserted through the nose or mouth and the sensors are placed in the esophagus, the patient returns home and after 24 hours, the pH of the esophagus is calculated through the existing sensors, if the pH is high This may indicates the presence of acid reflux esophageal
  • esophageal motility study: This technique enables us to study the function of the lower esophageal sphincter, where the pressure of the lower sphincter can be calculated. This technique is useful in order to verify the function of the esophageal muscles

Prevention of gastroesophageal reflux disease

To avoid the risk of GERD, some lifestyle modifications can be made, including:

  • Maintain a good weight and avoid obesity
  • Quit smoking and alcohol
  • Changing the angle of the bed when sleeping, i.e. raising the front
  • Avoid eating a lot before bed
  • Avoid foods that lower esophageal sphincter pressure
  • Do not lie down immediately after eating

The prevalence of gastroesophageal reflux disease

GERD is one of the most common health problems related to the digestive system. The following numbers and percentages are attributed to GERD:
18 to 27% residents of the United States of America suffer from GERD.
It affects young people and old as well, but the possibility of infection in adults is greater and affects both men and women, but GERD tends to affect women more.


Sources:

  1. clevelandclinic
  2. healthline
  3. Webmd
  4. johns hopkins

Common Questions

Gastroesophageal reflux disease can be permanently treated in Turkey by a surgical procedure that aims to raise the pressure of the lower esophageal sphincter and avoid gastric acid regurgitation.

Of course, there is a relationship between GERD and sore throat, as gastric acid reflux causes irritation and damage to the mucous membrane lining the throat.

The surgery that is performed to treat GERD in most cases is the Nissen operation, and the operation can be performed endoscopically, where the fundus of the stomach is folded around the esophagus, which raises the pressure of the lower esophageal sphincter.

In most cases, GERD can be treated and its symptoms controlled with some medications, but GERD may cause serious long-term complications if left untreated, Barrett's reflux, which poses a potential threat to esophageal cancer.

In order to answer this question, we must take into account many factors, including the severity of the condition, the symptoms that the patient suffers from, and the type of treatment the patient received. Esophageal reflux by surgery, the recovery period after the operation depends on the surgical technique used and extends, on average, to several days.

Studies have shown a relationship between GERD and the appearance of psychological symptoms in the patient, such as anxiety and tension, in addition to depression and nervousness.

Yes, there are cases that have fully recovered from the disease, and it may be either through surgery, which may solve the basis of the problem in some cases, such as the presence of a diaphragmatic hernia, or by controlling the symptoms of the disease medicinally.

The signs of GERD recovery appear in the form of an improvement in symptoms, and the heartburn that the patient has long suffered from will ease, in addition to the disappearance of other symptoms of GERD.

It depends on the severity of the disease and its cause. In mild cases, symptoms may disappear in less than a month after treatment, and this period may extend to about 6 months in more severe cases.

Esophagitis is a complication of gastroesophageal reflux disease, where stomach acid refluxes over time, causing irritation to the esophageal mucosa, which leads to inflammation in it.

 

Yes, GERD may cause dizziness and headache.

Gastroesophageal reflux disease can result in sore throat due to gastric acid reflux disease in the pharynx.

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