What is GERD?

Do you have chronic heartburn or acid reflux? You may have gastroesophageal reflux disease. Gastroesophageal reflux disease (GERD) is a chronic digestive disorder caused by changes in the gastroesophageal valve. This chronic disease occurs when stomach acid or bile returns into the food pipe and irritates the lining. During normal digestion, the lower esophageal sphincter opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus.

Symptoms of GERD may include the following:

  • Heartburn
  • Sore throat
  • Change in voice
  • Difficulty swallowing
  • Asthma
  • Excessive salivation
  • Regurgitation
  • Gas and bloating
  • Cough and hoarseness
  • Pain or discomfort in the chest/shortness of breath
  • Intolerance of certain foods and liquids
  • Bad breath, dental erosion or a sour taste in the mouth

Over-the-counter and prescription medications are effective for short term relief of heartburn symptoms, but for some, these medications no longer effectively treat symptoms. If your symptoms aren’t being controlled or are getting worse, it may be time to consider advanced treatment.

The Surgical Clinic offers 3 types of GERD treatments at 5 different locations throughout the Greater Nashville and Middle Tennessee area.



The LINX® Reflux Management System is a laparoscopic, fundic-sparing antireflux procedure indicated for patients diagnosed with GERD and who are seeking an alternative to continuous acid suppression therapy in the management of their GERD. LINX® is a flexible ring of small magnets that is placed around the esophagus just above the stomach using a minimally invasive surgical technique. The strength of the magnets helps keep the valve between your stomach and esophagus closed to prevent reflux. When you swallow, the magnets separate temporarily to allow food and liquid to pass into the stomach.

TSC Providers Offering LINX®


Nissen fundoplication is a laparoscopic procedure performed for patients with GERD. During fundoplication, the LES is restructured. The Nissen procedure involves wrapping the very top of the stomach around the lower part of the esophagus to strengthen the sphincter, prevent acid reflux, and repair a hiatal hernia.

TSC Providers Offering Nissen


The transoral incisionless fundoplication (TIF) is a minimally invasive treatment for GERD. TIF surgery is performed through the mouth, and not through an incision. TIF procedure with the EsophyX device is a simple intervention that repairs the gastroesophageal valve, the root cause of GERD. The TIF procedure reconstructs the valve between the esophagus and the stomach to prevent reflux.

TSC Providers Offering TIF

If you or someone you know suffers with chronic GERD and would like more information about how our Middle Tennessee GERD specialists can get you back to living a heartburn-free life, contact the Surgical Clinic today by visiting our locations page.