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Surgery

 Treatment

  • Medicines  
  • Surgery
Surgery
 
Surgery can be performed to either improve the action of the LES or to widen a narrowed esophagus.

Laparoscope


This involves  keyhole surgery (where the cut made is as small as possible to improve recovery)  and  is  carried out  to tighten  the tissue around  the lower esophagus to reduce or prevent acid reflux.  This surgery  will normally  mean that you stay in hospital for 2–3 days.

Widening of the esophagus

There  are  a  number  of  procedures  that  may  be  carried  out  to  widen  a narrowed esophagus.
  • Guided wire
Dilators  are  passed  over  a  thin  wire,   which     is positioned in the 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.

Patients  with swallowing  difficulties will normally  obtain complete relief after one of these procedures. During, or after the procedure you may experience a small  amount  of  bleeding   from  the  esophagus.   Complications  from   the procedure, such as excessive bleeding due to damage to the esophagus, are rare.
 
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