When it comes to managing gastroesophageal reflux disease or acid reflux, there are a number of different treatment options at your disposal. Most doctors will try some conservative care techniques in the beginning, but if those fail, surgery may be necessary to address the issue. There are two main surgical techniques for fixing the problem, either with the LINX procedure or a nissen fundoplication. Below, we compare and contrast the two surgeries to help you determine which one may be right for you.
LINX Basics
The LINX procedure is the newer of the two operations, as it was first performed in 2012. The procedure involves making a small incision on the patient and hooking a small magnetic ring around the base of the esophagus. This magnetic band helps to keep the esophagus closed so that stomach acid can’t make its way back up into the esophageal canal, but it is designed in such a way that the natural motion of swallowing will allow the band to expand so food and liquids can pass through as needed. It’s truly an innovative solution to a tricky problem.
LINX is preferred over the traditional nissen fundoplication operation because it is less invasive and in general, patients experience less discomfort. There is also a shorter recovery timeline for the LINX procedure, and patients can resume a normal diet right away. Some studies have found that patients experience fewer instances of gas or bloating with the LINX procedure compared to a nissen fundoplication. On the rare chance that you are not satisfied with the device or want it removed, the device can be taken out with an operation similar to its installation.
Before your operation, you’ll want to ensure that your endocrine surgeon is well-versed in the procedure, because it’s a very new procedure. Dr. Koeplin has performed many successful LINX operations at his practice. You’ll also want to make sure your insurance will cover the procedure, because it is generally more expensive than a nissen fundoplication, and some insurances may not cover this newer option.
Nissen Fundoplication Basics
A nissen fundoplication operation is a little different, and for years it has been considered the standard when it comes to GERD surgery. During the operation, your surgeon wraps the upper part of your stomach around the lower end of the esophagus and stitches in in place. This helps to reinforce the closing function of the esophageal sphincter. It is a very safe procedure, and roughly 90 percent of patients are symptom-free 10 years down the road.
Recovery is a little slower with a nissen fundoplication operation, and your diet is restricted to soft foods and liquids while your stitches heal. Long term (more than 30 days after your procedure) bloating and gas occurs in about 1 in 10 patients, but the trade off is well worth it. This procedure is not reversible.
Both procedures have high success rates, and your doctor can explain more about each option if it’s something you wish to pursue. Dr. Koeplin is well-versed in both techniques, so he’d be more than happy to answer any questions you might have. You can contact him by clicking here for more information.
