Guided wire- dilator passes over a thin wire, which is positioned in narrowed tube. Balloons- long, narrow balloons can be passed into the esophagus and then gently inflated to open up the narrowed tube. Bougie- a series of increasingly larger, soft rubber or plastic dilators are placed over the narrow part of the esophagus, gently widening the tube. The results causes esophagus to once again prevent stomach acid and food from moving upward causing painful acid reflux. Advantages of the surgery 1. It has few and very small incision. The smaller incisions cause less damage to body tissues, organ and muscles. 2. Can go home sooner. 3. Experiences fewer postoperative complications and less pain. Controversy Individuals who are unable to tolerate proton pumps inhibitors due to side effects, patients who developed additional symptoms such as cough, chest pain or hoarseness, or those who completely respond too drug therapy but relapse with symptoms when medications is withdrawn. But, with an advent of more effective and better-tolerated drugs, the advantages of surgery appear to be less clear-cut for majority of patients with GERD. |
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