FAQ About Reflux and GERD
What is reflux?
Simply put, reflux is when stomach acid and bile flow backward out of your stomach into your esophagus. This happens due to problems with the lower esophageal sphincter (LES), a muscle that’s at the juncture of your esophagus and stomach. It allows fluids and food to pass into your stomach. When the LES is weakened, reflux occurs.
Is reflux common?
Somewhat. It’s estimated that 40 percent of American adults experience some degree of reflux.
What are the symptoms of reflux?
The most common symptoms of reflux are indigestion, heartburn, and discomfort in the chest or throat.
- Pain in the chest or throat,
- Tightness or discomfort in the chest,
- Nausea and vomiting,
- Burping,
- Difficulty swallowing,
- Sensitive teeth or bad breath (long term results),
- Abdominal pain,
- Respiratory problems
What contributes to reflux?
Anyone can develop reflux, but it is more likely in those who are:
- Overweight or obese,
- Pregnant,
- Smokers,
- On medications that cause reflux — antihistamines, pain relievers, and antidepressants,
- Overeats,
- Has, or has had, a hiatal hernia.
Eating certain foods can trigger or make symptoms worse:
- Fried foods,
- Citrus fruits,
- Coffee,
- Carbonated beverages,
- Alcohol,
- Chocolate
When should I see a doctor?
Most people, at some point, will experience heartburn. Infrequent heartburn or indigestion that can be attributed to something — pregnancy or overeating — is likely nothing to be concerned about and can be managed with antacids. If you experience any of these symptoms, it is time to see your doctor and seek treatment.
- Occurs more than weekly,
- Is severe enough that it interferes with your life,
- Wakes you from your sleep
How is reflux treated?
Previously, numerous treatment methods such as antacid medication and surgery have been used to treat symptoms. Only 40 percent of patients experienced elimination of symptoms, while the remaining 60 percent experienced no improvement. Now, the LINX Reflux Management System is available for successful treatment.
Can I treat my GERD at home?
Some lifestyle modifications may help reduce the symptoms, but medical intervention is necessary to reduce the incidence of Barrett’s Esophagus and esophageal cancer. To help reduce symptoms you can:
- Eat smaller meals
- Avoid eating before bed
- Lose weight
- Avoid trigger foods
- Avoid restrictive clothing
- Stop smoking
- Limit alcohol use
What are the long-term effects of GERD?
GERD, if left untreated, or ineffectively treated may result in alteration of the healthy tissue of the esophagus. This can result in esophagitis, ulcers, or strictures (narrowing of the esophagus), and lead to Barrett’s Esophagus and esophageal adenocarcinoma (EAC), a type of cancer.
I have a prescription for PPIs, this will help, right?
Proton-pump inhibitor (PPI) medications prescribed by your doctor may help reduce symptoms because it reduces the amount of stomach acid created. However, the use of PPIs is not a cure and does not protect against ulcers, Barrett’s Esophagus, or cancer.
My doctor recommended Nissen fundoplication, will it help?
Nissen fundoplication is an old technique that used the stomach to create a barrier to support the esophageal sphincter. However, the LINX system is a far superior procedure that does not require the modification of the stomach or result in the complications inherent in Nissen fundoplication technique.
FAQ About LINX System Reflux Managment
What is the LINX Reflux Management System?
The LINX System is a highly effective procedure that utilizes a tiny and flexible band of magnets enclosed within titanium beads. The LINX System is surgically placed around the esophagus. The magnetism between the beads keeps the weak lower esophageal sphincter (LES) closed and prevents reflux from taking place. The magnetic bonds are temporarily broken each time that you swallow, allowing the safe passage of fluids and food into the stomach. Afterward, the magnetic attraction re-closes the LES and continues to reinforce the barrier against reflux.
How long does the procedure take?
The surgical procedure is conducted at our treatment center, is minimally invasive, and only takes about an hour. The LINX beads begin to work immediately after surgery.
When can I eat normally again?
You’re encouraged to return to your regular diet as quickly as possible. This helps your body adapt quickly to the LINX System.
When can I return to normal physical activities?
As with any surgical procedure, you should consult your doctor regarding post-operative care. Usually, you can return to your normal routine after a few days.
Will the beads in the LINX System set off metal detectors?
The titanium beads in the LINX System should not set off metal detectors. However, you will be provided with an implant card to have available in case an issue arises.
Will the magnets wear out?
The LINX System utilizes permanent magnets that are designed to never wear out.
Is it safe to have an MRI test after receiving the LINX System?
Is it safe to have an MRI test after receiving the LINX System?
There are two versions of LINX System available. One is safe in MRI scanning machines up to 0.7 Tesla (T), while the other is safe to 1.5 Tesla (T). Prior to treatment with the LINX System, discuss the MRI scanning options with your doctor.
Is there a chance that the LINX System won’t work for me?
In the majority of patients, the LINX System works great. In less than 3 percent of people, the device had to be removed. Less than 10 percent of people still required occasional antacids after having the LINX implanted.
Will weight gain affect the LINX System?
The LINX System works by creating pressure on the lower esophageal sphincter (LES), and significant weight gain may put additional pressure on the LINX and cause it to not work. So, if you experience significant weight gain and notice reflux symptoms, you may have to have it adjusted for it to work again.
What are the benefits to LINX System placement?
- Performed laparoscopically to minimize incision and downtime
- Return to normal patterns quicky
- Requires no permanent alteration of the stomach or esophagus
- Reduced gas and bloating
- Ability to belch and vomit
- Immediate relief of reflux
- Effective in over 89% of patients
- Removable - preserving future treatment options