![]() ![]() We do a test called manometry, where we place a probe into esophagus and measure pressures during swallowing. As a surgeon, I also assess how well the esophagus in the patient functions. So in making the decision of who’s a good candidate for the LINX and who’s a good candidate for the fundoplication a lot of it has to do with patient preference. The results for both operations are about the same. With the fundoplication the dysphasia is still there, but it’s a little bit less – you might have a little bit more gas bloating. It can last up to three or six months in some cases, but most of the time it does go away and then you can enjoy your life free of antacids and heartburn. For the LINX, because it’s a mechanical device, what we find is dysphagia or some difficulty swallowing in the early period of recovery is a bit more pronounced than in the fundoplication. When the LINX came around, it was smaller, it didn’t require a change of anatomy with the stomach, it was fairly simple in the right hands – to put it around the esophagus – and so it’s a very attractive procedure from that standpoint. ![]() What it involves is taking the fundus, or the upper part of the stomach, wrapping it around the lower esophagus and suturing in place. Now, the fundoplication is the traditional operation to prevent this as well. The device keeps the acid from coming up into your esophagus and causing heartburn and GERD and all the problems that come along with them. So, LINX surgery is a newer operation which is basically a magnetic beaded ring that goes around your lower esophagus that keeps the gastric juices in your stomach where they belong. Tiddlywiki is a wiki in a single file (ie it updates the file itself) - if you can make that work with a text mode browser such as elinks () then that could be a direction worth exploring.So, one of the questions we get when we offer anti-reflux or anti-GERD or anti-heartburn surgery to patients, is what is the difference between a traditional Nissen Fundoplication and LINX surgery. The browser always displays the text "IMG" and not the filename, title, or alternate text when rendering tags.
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