Surgery and Persistent Heartburn
Because of the effectiveness of medications, surgery is uncommon. But there are two outpatient options for some.
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Doctors can now perform two different medical procedures to correct hiatal hernia or tighten the lower esophageal sphincter (LES), the valve that connects the stomach and the esophagus. But surgery is not the best option unless heartburn is a symptom of persistent, severe, erosive esophagitis or is unresponsive—or inadequately responsive—to prescription drug therapy. Patients should consult a physician to determine whether surgery is appropriate for them.
The following two FDA-approved procedures are performed endoscopically through a long, flexible tube that’s inserted into the mouth and down the esophagus.
The Bard Procedure
Also known as EndoCinch endoluminal gastroplication, this procedure uses a tool to put a few stitches in the faulty valve that’s causing heartburn. Like a tiny sewing machine, the tool creates little pleated gathers that strengthen the valve so it can prevent stomach acid from washing into the esophagus.
The Stretta Procedure
This procedure utilizes radio-frequency energy to heat and melt tissues within the part of the esophagus that contains the malfunctioning valve and at the junction of the esophagus and upper stomach, creating a barrier to reflux.
The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis or recommended treatments. OTC PPIs are only indicated for treatment of frequent heartburn. For severe heartburn or heartburn that persists after trying over-the-counter treatment or lifestyle modifications, visit your doctor to determine the right treatment for you. See the Terms and Conditions for more information.
