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Acid Reflux Treatment Baltimore MD

Gastroesophageal reflux disease is caused by gastric acid flowing from the stomach into the esophagus. Symptoms include chronic heartburn, regurgitation and dyspepsia that produces burping, nausea, bloating and upper abdominal pain. Left untreated it may cause esophageal ulcers, bleeding and narrowing of the esophagus. Nissen fundoplication is a surgical procedure for people whose acid reflux is not controlled with medicine, don’t want to take medicine long term or have hiatal hernia, caused by an opening in the diaphragm allowing a portion of the stomach to protrude into the chest. During fundoplication surgery the upper curve of the stomach is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This strengthens the valve between the esophagus and stomach, stopping acid from backing up into the esophagus to allow healing. Listed below you will find local gastroenterologists around Baltimore who can help.

Local Companies

Hampden Family Chiropractic
(443) 478-2892
3617 Falls Road
Baltimore, MD

Chengzhang Shi
410-905-7140
711 W. 40th St.
Baltimore, MD

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Tom Ingegno M.S.O.M., L.Ac.
(410) 842-7784
715 Park Ave
Baltimore, MD

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Bernard Chang
410-332-9700
301 St. Paul Place
Baltimore, MD

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DocSide Veterinary Medical Center
(410) 522-0055
1705 Bank St
Baltimore, MD

Marcia S Driscoll, MD
(410) 328-5823
419 W Redwood St
Baltimore, MD

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Multi Specialty Healthcare
(410) 234-1600
1800 N Charles St
Baltimore, MD

Sajeev Kathuria, MD
(410) 328-6533
419 W Redwood St
Baltimore, MD

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Sheri Rowen, M.D. Laser Vision Correction
(410) 332-9500
301 Saint Paul Pl
Baltimore, MD

Camden-Inner Harbor Veterinary Services
(410) 404-1600
Camden Yards - Baltimore
Baltimore, MD

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Nissen Fundoplication & Acid Reflux

Overview

Gastroesophageal reflux disease (GERD), commonly called chronic heartburn, can significantly impair a person's quality of life. Heartburn has nothing to do with the heart; symptoms are caused by stomach acid that backs up (refluxes) into the esophagus, the tube that carries food from the mouth to the stomach. The muscle that separates the stomach and esophagus (called the lower esophageal sphincter, or LES) acts like a one-way valve: it remains closed until swallowing forces it to open and it contracts as soon as the food empties into the stomach. When it does not work properly, stomach acid can reflux into the esophagus and cause the burning sensation of heartburn.

GERD can increase pressure within the abdomen, which may be a factor in the occurrence of hiatal hernias. Approximately 40% of people with GERD also have a hiatal hernia. In most cases, a hiatal, or diaphragmatic, hernia occurs when the lower part of the esophagus and a portion of the stomach slide up through the esophageal hiatus, an opening in the diaphragm through which the esophagus passes before it reaches the stomach. In a small percentage of cases, the junction of the esophagus and stomach remains in place, but a portion of the stomach rolls up and through the esophageal hiatus alongside the esophagus.

A person with GERD and a hiatal hernia generally has more severe reflux and symptoms that are difficult to control with medication and lifestyle changes. When lifestyle changes and/or medication fail to relieve symptoms, a surgical procedure called Nissen fundoplication is used to correct the condition.

Surgical Procedures

Two surgical techniques are employed to perform Nissen fundoplication: open surgery or laparoscopic surgery.

General anesthesia is used to render the patient unconscious. Once the anesthesia has taken effect, the upper abdomen is cleaned with an antiseptic solution to lessen the risk for infection.

In open surgery, the surgeon makes a 6- to 10-inch incision in the middle of the abdomen, from just below the ribs to the umbilicus (belly button). If the patient has a hiatal

hernia, that is repaired first. The esophageal hiatus is tightened with a couple of stitches to prevent herniation of the fundoplication and then the surgeon performs the procedure.

The upper portion of the stomach (the fundus), which is on the left side of the esophagus, is pulled behind and wrapped around the lower portion of the esophagus and then sutured to the portion of the stomach that has moved into the fundus's original position. This creates a "valve" that acts like the LES to prevent stomach acid from refluxing into the esophagus.

In the laparoscopic procedure, the surgeon makes five small incisions in the abdomen. A laparoscope, a miniature telescope attached to a video camera, is inserted through one incision. This allows the surgeon to see the interior of the abdominal cavity. The surgical instruments are inserted through the other incisions.

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Resources

Acid Reflux Disease Information from Miguel Rodriguez, MD

from: VideoMD

When an individual is diagnosed with acid reflux d...

UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church