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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