Virtual GERD Center

Gastroesophageal Reflux Disease

Do you have chronic heartburn or acid reflux?

Have you been diagnosed with gastroesophageal reflux disease (GERD)?

Do you wonder if you will be taking antacids and pills the rest of your life to treat heartburn?

Are you still unable to eat the foods you want or must sleep sitting up to reduce nighttime reflux?

Did you know that long-term heartburn also leads to esophageal cancer?

What is GERD?

Gastroesophageal reflux disease (GERD) is a chronic condition caused by changes in the gastroesophageal valve (GEV). In a healthy patient, this valve between the esophagus and the stomach that forms a physical barrier preventing stomach fluids from backwashing, or “refluxing,” up into the esophagus. In a patient with chronic GERD, this valve has become dysfunctional. GERD can lead to short-term bothersome symptoms, which can vary from mild or moderate to severe depending on the person.

Symptoms of GERD:

  • 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 PPI 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. Please contact us if you or someone you know suffers with chronic GERD and would like more information about how our GERD specialists can get you back to living without the pills and without heartburn.

Freedom from Medication

Freedom from Heartburn

?

Freedom from Regurgitation

1

Freedom from Bloating

Quality of Life Improved

Print and Fill out the GERD Quiz out and bring it in to your Appointment

Contact Our GERD Specialists

Treatment Options For GERD

Did you know that multiple treatment options are available?

The Surgical Clinic offers 3 types of GERD Treatments.

These are all recommended treatments and depending on your case and your Specialist’s opinion. We offer these treatments at 5 different locations throughout the Greater Nashville and the Middle Tennessee area.

About LINX

The LINX® Reflux Management System is a laparoscopic, fundic-sparing antireflux procedure indicated for patients diagnosed with
Gastroesophageal Reflux Disease (GERD) as defined by abnormal pH testing, and who are seeking an alternative to continuous acid suppression therapy (i.e. proton pump inhibitors or equivalent) in the management of their GERD.

  • LINX® is a flexible ring of small magnets about the size of a quarter 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.
  • The procedure lasts about an hour and many patients are able to go home the same day.
  • The FDA approved this device and procedure in 2012.
  • 99% of patients reported no bothersome heartburn affecting their sleep nightly
  • 91% of patients achieved freedom from daily medication for GERD
  • 97% of patients required no change to their diet from heartburn on a daily basis

Frequently Asked Questions

Are there side effects with LINX®?
The most common side effect is discomfort or difficulty swallowing, known as dysphagia. It is often temporary and a normal part of the healing process. For more information on side effects please visit www.linxforlife.com

When can I start eating normally again?
Patients are encouraged to return to a normal diet as soon as tolerated or as directed by their physician.

When can I return to normal physical activities?
Patients are generally able to return to non-strenuous activity within a couple of days.

Can I have an MRI?
Yes. LINX® patients may undergo magnetic resonance imaging (MRI) up to either 0.7 – Tesla (0.7T) or 1.5 – Tesla (1.5T) depending on the LINX® model implanted. You should discuss the MRI scanning options with your physician prior to deciding on treatment with LINX®. LINX® patients can also undergo: CT scan, ultrasound, x-ray and PET scan.

For more information: linxforlife.com

Providers offering LINX

 

About Nissen

The lower esophageal sphincter (LES) is a one-way valve at the top of the stomach. It keeps food and fluid from flowing backward. During fundoplication, the LES is restructured. The Nissen procedure involves wrapping the very top of the stomach around the lower part of the esophagus. Most often, general anesthesia is used.  The doctor makes 2 to 4 small incisions in your belly area (abdomen). The scope is put through one of the incisions. The scope sends live pictures to a video screen. This lets the doctor see inside your abdomen. The esophagus travels through an opening in the diaphragm called the hiatus. You have a hiatal hernia if your stomach has pulled up into the chest area. If this is the case, the hiatus is tightened with a few stitches. The stomach is wrapped around the outside of the esophagus. The wrap is stitched into place. Any incisions are closed with stitches (sutures) or staples. Providers offering Nissen

About TIF

TIF is an acronym, transoral incisionless fundoplication, and the advantage is that it is ‘surgery from within’ performed through the mouth, 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.

  • The FDA approved this device and procedure in 2007.
  • Minimally invasive: Fast recovery
  • Restores valve to natural state: Maintain normal bodily functions
  • No incisions: No scars
  • No metal implant: No need to remove foreign object
  • No dissection of stomach: No scar tissue

Clinical studies show that at three years after the TIF procedure:

  • 70% were able to completely stop PPI therapy
  • 87% of patients reported reflux esophagitis healed
  • 91% of patients reported elimination of troublesome regurgitation

For more information visit gerdhelp.com/ Providers offering TIF procedure

Locations For GERD Treatments

Smyrna

TSC Rutherford

515 StoneCrest Pkwy., Suite 230 Smyrna, TN 37167

P: 615-223-9935 F: 615-891-5046

Nashville

Downtown Clinic

356 24th Ave. North, Suite 400 Nashville, TN 37203

P: 615-329-7887 F: 615-340-4537

Columbia

Mid-South Surgeons

1222 Trotwood Avenue, Suite 211 Columbia, TN 38401

P: (931) 380-3033 F: (931) 388-3401

Hermitage

Summit Clinic

3901 Central Pike, Suite 555 Hermitage, TN 37076

P: 615-874-9667 F: 615-871-9682

Nashville

Saint Thomas West Clinic

4230 Harding Pike, Suite 525 Nashville, TN 37205

P: 615-385-1547 F: 615-297-9161

Contact Our GERD Specialists

Torax supplied art/photos for the articles. The LINX® Reflux Management System is indicated for those patients diagnosed with Gastroesophageal Reflux Disease (GERD) as defined by abnormal pH testing, and who continue to have chronic GERD symptoms despite maximum medical therapy for the treatment of reflux. Caution: Federal law (USA) restricts these devices to sale by or on the order of a physician.Contraindications: Do not implant the LINX® System in patients with suspected or known allergies to titanium, stainless steel, nickel or ferrous materials. Warnings: The LINX® device is considered MR Conditional in a magnetic resonance imaging (MRI) system up to either 0.7 Tesla (0.7T) or 1.5 Tesla (1.5T), depending on the LINX® model implanted. Laparoscopic placement of the LINX® device is major surgery. General Precautions: The LINX® device is a long-term implant for use in patients 21 years or older. Medical management of adverse reactions may include explantation and/or replacement. Potential Risks Associated with LINX® System: dysphagia, stomach bloating, nausea, odynophagia, increased belching, decreased appetite, inability to belch or vomit, flatulence, early satiety, device erosion, device migration, infection, pain, and worsening of preoperative symptoms. For more information on the LINX® Reflux Management System, contact your physician or Torax Medical, Inc. For full patient information visit www.linxforlife.com or www.toraxmedical.com. Supported by Torax Nissen information came from Krames info on our website: The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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