Posts Tagged GERD Surgery

Diet after Surgery for GERD

For those who suffer from gastroesophageal reflux disease or GERD, daily activities can be a struggle. GERD develops when digestive juices from the stomach travel upwards to the throat and even the mouth, which can irritate the esophagus. Pain and discomfort can prevent you from eating or drinking, sleeping or being able to participate in activities like work or exercise. If the problem is persistent over time, many GERD sufferers resort to transoral surgery in Dallas. After your surgery to treat GERD, it is recommended that you remain on a limited diet, providing your esophageal lining with time to heal.

Your physician will provide you with in depth instructions concerning a diet for GERD after surgery, but here are a few things that you can keep in mind:

Immediately after Surgery: Following the procedure it will be necessary to only consume clear liquids. While water is of course suggested, you also need to consume liquids that are calorically dense in order for your body to recover and have enough energy. Some suggestions include things like apple juice, broth, frozen ice pops and plain tea or coffee.

All Liquids: Once you leave the hospital following your operation you can generally consume almost anything in liquid form. This means all juices, pureed soups, yogurt or pudding. As long as it doesn’t bother your throat, almost all of these liquids can be consumed in large quantities if necessary.

Soft Foods: After several weeks, you can begin eating softer foods. Start off with things like oatmeal and mashed potatoes, but progress to items like pasta, soft and well cooked vegetables or bananas.

By following these guidelines you can recover as quickly as possible from your surgery to treat GERD. When you eat, try to remain upright to allow the food to digest properly for at least 20-30 minutes. In order to consume adequate calories, remember to eat smaller meals throughout the day.

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Reflux Symptoms Resolved with TIF Esophyx

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Dr. Ihde – Again I just want to thank you for coming, and for helping us get the word out about this procedure. It’s a new procedure; it’s only been around for about three years. About five thousand patients have been done, so it’s by no means experimental. It was FDA approved three years ago. But on average it takes 10 years for something new to get out to the common practice. So you came in with heartburn reflux symptoms, what symptoms were you having when you came in?

Patient – I actually didn’t have any heartburn, I just had reflux symptoms.

Dr. Ihde – And was it chest pain, or burning, acid in your mouth or all those things?

Patient – Well it started with chest pain, and so those are the normal beginning symptoms of acid reflux. And I never had the heartburn, but I just had the acidic taste in my mouth and acid in my esophagus.

Dr. Ihde – When you laid down at night did you have fluid or acid come up to your mouth?

Patient – Every night.

Dr. Ihde – Every night?

Patient – Every night.

Dr. Ihde – And where you sleeping on pillows, or sleeping upright when you slept?

Patient – Well the fact that I bought a new bed that was pretty expensive, which is nice to watch TV in. But it was for sleeping and to hopefully have gravity work and have the acid work the way down. But it didn’t even work.

Dr. Ihde – So how long have you been having these symptoms?

Patient – Well it just got progressively worse and worse, and I would imagine it was two to three years.

Dr. Ihde – And if you could pick one aspect of your reflux disease, what was the worst part of it?

Patient – it was every morning when I would wake up with the taste of acid in my mouth.

Dr. Ihde – Were there foods that made that worse, that you tried to stay away from?

Patient – Corn chips, tomato sauce, the normal culprits.

Dr. Ihde – And sort of what treatments were you on to kind of control that?

Patient – Well I was trying everything from apple cider. Drinking apple drinking, and anything to try to neutralize the acid. I would take Prilosec, but nothing really worked.

Dr. Ihde – Were you taking that medicine once a day or twice a day?

Patient – I would take it everyday.

Dr. Ihde – Even though you were on the medicine were you still having these episode?

Patient – Yes.

Dr. Ihde – So you saw other doctors for this, and what were they saying?

Patient – Well the only other doctor I saw for it, it was probably during the first year. And they did diagnose me with acid reflux. And to just be on medication and to just keep an eye on it. But it got progressively worse and worse as time went on.

Dr. Ihde – So how did you find out about me?

Patient – I was watching the cowboy game and there was the news anchor said, new acid reflux procedure tonight at ten. And so I hit record on my DVR, and made sure to record on the other DVR so I wouldn’t miss it. And I wrote your name, and I called you the next day.

Dr. Ihde – And once we saw you, what kind of work up did we do to evaluate you?

Patient – Well you had the initial visit, and you explained the procedure to me. But we had to do an upper endoscopy to make sure I was a via candidate.

Dr. Ihde – And then which procedure did you have done?

Patient – well I had the TIF procedure, and then I also had the hiatal hernia which I had repaired at the same time.

Dr. Ihde – And how long has it been since you’ve had your surgery?

Patient – I had it in March, so that’s probably about six, seven months.

Dr. Ihde – And what was your experience with the surgery, good, bad, not good?

Patient – Well the surgery with being under anesthesia and coming out of it, it takes a while to feel back to your normal self. No matter what you have done. So the surgery on the procedure wasn’t bad it was just obviously the anesthesia and kind of just feeling like your normal self after a while.

Dr. Ihde – How long did you stay in the hospital?

Patient – I stayed till the following evening.

Dr. Ihde – How long at home before you felt normal again, or you felt like doing your regular activities?

Patient – Well I had that procedure done on a Friday, and I left the hospital on Saturday. I could have done to work on Monday, but I went on Tuesday.

Dr. Ihde – How long before you felt like there was a change in your symptoms?

Patient – Immediately.

Dr. Ihde – Immediately. Ok. Are you taking any medicine for heartburn now, reflux?

Patient – No.

Dr. Ihde – Are you having any reflux?

Patient – No.

Dr. Ihde – Have you had any reflux since surgery?

Patient – No.

Dr. Ihde – That’s pretty impressive. So have you started to eat other foods before you avoided?

Patient – Yes. I learned to live without fried foods, so I haven’t really gone back to them. They are kind of to watch my diet.

Dr. Ihde – That’s probably good for you.

Patient – Yes, it’s good for me. I’m open to it, and I have had some of those. And everything doesn’t cause any problems at all.

Dr. Ihde – Are you pretty satisfied with the procedure then?

Patient – I’m very satisfied.

Dr. Ihde – Something you would recommend to a friend?

Patient – Anyone who has these types of symptoms, and is suffering no longer has to suffer. That’s the word that needs to get out. Is that I don’t think a lot of people are prevute to this information and once they find it out. They can have their life back and just live a normal life.

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TIF Esophyx Incisionless GERD Surgery

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Dr. Ihde – So I just kind of wanted to go over your experience with your reflux procedure. You had a newer procedure called, a transoral fundoplication. Which means we went in through the mouth to create a valve at the end of the esophagus. So tell me what kind of symptoms were you having that brought you in for your initial consultation.

Patient – When I initially came here I was having heartburn and reflux all day long. I would sit on the side of the bed in pain, I couldn’t walk ten feet without in starting up again. I’ve been on every type of medication; I’ve been treated otherwise with medication and all the other stuff you’re supposed to do. Change your diet, tilt your bed, take antacids, don’t eat after a certain time of night. I had pretty much given up hope that I would have to be that way.

Dr. Ihde – How long had that been going on for?

Patient – The actual all day pain had been going on for over a year.

Dr. Ihde – If you could pick out one of those symptoms that was the worst part of your reflux disease?

Patient – The burning and the pain that would shoot down my arm. It would just double me over and take my breath away. It was so horrible.

Dr. Ihde –  Were there any kinds of foods that made that worse? That you said, well you know I just can’t eat this anymore?

Patient – At the point where I was at when I came to see you, I couldn’t pretty much eat hardly anything. Everything bothered me.

Dr. Ihde – What would you eat day to day?

Patient – Soups, sandwiches. I took fried foods out of my vocabulary, I took Mexican food out. Pretty much everything just bland.

Dr. Ihde – Okay. And then you tried other treatments, you saw other doctors. Tell us about that.

Patient – Yes, I had gone to other doctors, in fact being treated by one for a couple of years. And basically what we did was kept changing medication, and nothing was working. And then it just got progressively worse and worse. At that point, the only thing they had to offer was to go in surgically and I didn’t want to have that done.

Dr. Ihde – And which medicines were you on when you finally ended up coming to see me?

Patient – I was on nexium, and I was taking antacids. And then you had put me on another medication.

Dr. Ihde – Okay.

Patient –  That helps. And I was also taking regaline.

Dr. Ihde – Regaline.

Patient – Which I had to quit taking because I started having side effects.

Dr. Ihde – Okay. And then how did you hear about me?

Patient – Actually, my husband was talking to his brother on the phone one night, because his wife had an appointment to come see you. So he was telling us about you, said go look at your website. We went and looked at your website, and then my husband went ahead and called you. Because at that point, I could hardly move and talk to people. I was in so much pain. Made the appointment with you, and I got my life back.

Dr. Ihde – So what kind of work up did we do to evaluate your reflux?

Patient – You saw me first initially in the office, and we discussed the procedure. And then you did the endoscopic to see what was going on down there. Once you did that, you determined that I was a candidate for the procedure and went from there.

Dr. Ihde – So can you describe the procedure that you had done?

Patient – What happened was, you had a piece of equipment that went in through the mouth and went down through the esophagus and into the mouth. It pulled the stomach lining up to make a new valve. And then you pulled down where the hiatal hernia was and tacked it down, and came back out through the mouth.

Dr. Ihde – Very good. So you had hiatal hernia? But we didn’t make incisions to go fix the hiatal hernia; we did that at the same time?

Patient – That is correct.

Dr. Ihde – How was your surgical experience, good, bad, ugly?

Patient – The surgical experience was good. I think probably the first week was the hardest, because it was hard to get pills down when your throat is swollen. I had a very sore throat, it was hard to talk. But once I got over the initial week or so, things keep on getting better day by day.

Dr. Ihde – So how long before you felt back to normal?

Patient – Before I really felt back to normal it was probably about three weeks.

Dr. Ihde – Ok. How long did you stay in the hospital?

Patient – Over night. Stayed overnight, got to go home the next morning.

Dr. Ihde – How long before you noticed a change in your reflux symptoms?

Patient – Immediately, when I woke up I hadn’t had a reflux since the day I had the procedure done.

Dr. Ihde – No symptoms of reflux?

Patient – No.

Dr. Ihde – Are you taking any medicine for reflux now?

Patient – No I’m not.

Dr. Ihde – How about foods, are you eating foods that used to cause reflux?

Patient – Yes, I’m back to eating Mexican food and pizza again.

Dr. Ihde – Is that causing you any problems at all?

Patient – Not a problem at all.

Dr. Ihde – So overall, pretty satisfied with the way the procedure went?

Patient – Absolutely.

Dr. Ihde – Is this something you’d recommend to a friend?

Patient – Absolutely, in fact I’ve got some people who are coming to see you and have already called you.

Dr. Ihde – Well that’s a very nice complaint and I appreciate it.

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