GERD Surgery: When to Consider Treatment for Acid Reflux

Acid reflux is something most people experience occasionally, but when heartburn becomes a frequent part of your life, it could signal a more serious condition called GERD, or gastroesophageal reflux disease.

W.D. Hinojosa, DO, a general surgeon at Oklahoma Surgical Associates specializing in minimally invasive and robotic surgery, shares insight on GERD, how lifestyle factors affect symptoms, and when surgery may be an option.

What Is GERD?

GERD is a chronic condition caused when stomach acid flows back into the esophagus. This can lead to irritation, inflammation and painful heartburn.

“Acid reflux is when the stomach acid flows back up into the esophagus and causes heartburn, and most patients experience that occasionally,” explains Dr. Hinojosa. “GERD is when those symptoms occur more frequently, sometimes several times a week.”

Does Dehydration Make Acid Reflux Worse?

Hydration plays a surprisingly important role in digestive health.

“When we’re hydrated, our stomach and digestive system work smoothly,” says Dr. Hinojosa. “When we’re dehydrated, our stomach acid becomes more concentrated and can lead to more reflux symptoms. Staying well hydrated can help reduce those symptoms, especially during the summer.”

Everyday Tips to Reduce Acid Reflux

For many people, small changes in daily habits can reduce reflux flare-ups:

• Stay hydrated throughout the day
• Avoid large, heavy meals, especially at night
• Wait at least three hours after eating before lying down
• Limit trigger foods and drinks such as:
  • Caffeine
  • Alcohol
  • Fatty meals
  • Spicy foods
• Elevate the head of your bed a few inches to reduce nighttime reflux

When Should You Consider GERD Surgery?

Most patients manage GERD with lifestyle changes or medication. However, surgery may be an option if symptoms persist or complications arise.

“When those symptoms continue despite treatment, or you develop complications such as esophagitis or Barrett’s esophagus, that’s when we may consider more advanced treatment options, such as surgery,” says Dr. Hinojosa.

What to Expect from GERD Surgery?

The most common procedure is called a fundoplication.

“We take the upper part of the stomach and wrap it around the lower part of the esophagus to strengthen the valve and prevent reflux from happening,” explains Dr. Hinojosa.

Surgery and Recovery

• Minimally invasive – performed laparoscopically or robotically
• Quick recovery – most patients return to normal activities within 1–2 weeks
• Diet progression – patients start with liquids, then move to soft foods, and eventually solid foods over about six weeks

Final Thoughts from Dr. Hinojosa

“Most patients can treat their acid reflux symptoms with lifestyle and medication, but if you are continuing to have symptoms despite medications, there are effective treatment options, including surgery,” says Dr. Hinojosa. “If you’re suffering from acid reflux, it’s important to talk to your doctor and discuss what options may be available to you.”

GERD doesn’t have to control your life. If lifestyle changes and medication aren’t enough, talk to your doctor about whether minimally invasive GERD surgery may be right for you, or give Oklahoma Surgical Associates a call at 405-515-4099.