Mild or moderate symptoms of reflux can usually be alleviated with lifestyle and dietary adjustments. Medication may also help to treat symptoms. However, in some cases people still experience symptoms despite attempts of non-surgical treatment options. In this instance, surgery may be the only viable option.
Surgery will aim to reinforce the lower oesophageal sphincter (LOS), which normally keeps acid from refluxing back to your stomach. There are a few different surgical options to treat the symptoms of GERD and curb the associated complications. Your doctor will best be able to give you advice and support about which form of treatment is best suited to your particular case.
A fundoplication is the most common form of surgical treatment for GERD. It involves tightening and reinforcing your LOS. This is done by wrapping a portion of your stomach around the outside of the lower part of your oesophagus in order to strengthen the sphincter. This surgery can be performed by using open surgical techniques or it may be performed as a laparoscopic procedure. This is considered the less invasive of the two techniques.
If you have a hiatal hernia which has led to symptoms of GERD, this will usually be addressed alondside and be repaired surgically to prevent recurrent or further complications.