Vim & Vigor - Summer 2013 - North Mississippi - (Page 54)
Reflux
Are you suffering from painful heartburn?
You don’t have to just live with it
E
Relief
lwanda Walker endured test after test and tried
medication upon medication before finding relief
from chronic reflux in a new procedure done
exclusively in this region at North Mississippi
Medical Center.
Reflux, also called gastroesophageal reflux disease, or
GERD, happens when food or liquid leaks backward from
the stomach into the esophagus. This action can irritate the
esophagus, causing heartburn and other symptoms.
“The problem with reflux is that the lower esophageal
sphincter, the muscle at the bottom of the esophagus and
the entrance to the stomach, becomes weak,” explains Sam
Pace, MD, a board-certified gastroenterologist with Digestive
Health Specialists in Tupelo. “Basically, the gate that is supposed to open to let food in and close to keep it from coming
back out becomes dysfunctional.” Left untreated, reflux can
lead to serious complications such as esophagitis, stricture,
Barrett’s esophagus and esophageal cancer.
“I had really bad reflux and nothing was working for it,”
says the 65-year-old Tupelo resident. “I could take a bite of
food and my stomach would start to hurt, then I’d have to take
a swig of medicine. The simple fact was, no
matter what I tried to eat or drink, it wouldn’t
go down and then it would come back up.”
Time for a Change
After Walker’s husband passed away in
2008, she became even more isolated. “I
couldn’t go eat with my family or participate
in barbecues,” she says. “I couldn’t go eat
with my church friends because I didn’t want
to get sick in front of people.”
Walker was almost at her wit’s end when
she was referred to Tupelo surgeon David
Gilliland, MD, with Surgery Associates, PA.
“I was miserable. I had no quality of life,” she
54
Su m m e r 2 013
says. “I said, ‘Please tell me that I’m not going to die from this.’
I was almost bedridden because I was so sick to my stomach.”
Until now, physicians had only two options for treating
reflux—with medication or with a surgical procedure called
laparoscopic Nissen fundoplication, widely used since the
early 1990s. In this procedure, the top part of the stomach
(fundus) is wrapped around the lower esophagus to improve
the reflux barrier. While Nissen fundoplication can be effective, it has drawbacks.
“After a patient has fundoplication, he can no longer belch
or vomit,” Gilliland says. “Some patients report gas bloating
because of this.”
a BeTTer opTion
Gilliland told Walker about the LINX Reflux Management
System, a new device recently approved by the U.S. Food and
Drug Administration. “The device is a string of very small
magnets enclosed in titanium beads,” he explains. “When
placed around the outside of the esophagus, the magnetic
attraction between the beads helps the sphincter stay closed
to prevent reflux.” The force of swallowing breaks the magnetic bond to allow food and liquid to pass
through, then the magnetic attraction closes
the lower esophageal sphincter back to form
a barrier.
“The LINX device is dynamic, helping the
lower esophageal sphincter open and close,”
Pace says. “It mimics the muscle and how the
muscle is supposed to work. Patients can still
belch and vomit, so bloating isn’t an issue.”
While the Nissen procedure is permanent
and involves significant alterations to the
anatomy, the LINX procedure is merely supportive and can be removed if necessary.
“It was amazing from the first day,”
The LINX device uses tiny
magnets to prevent reflux.
Walker says. “When I woke up, I expected
Table of Contents for the Digital Edition of Vim & Vigor - Summer 2013 - North Mississippi
Vim & Vigor - Summer 2013 - North Mississippi
Contents
Opening Thoughts
Help for Your Heart
The Ultimate Backto- School Checklist
Join the Movement
Stroke Stories
5 Steps to Better Bone Health
Gut Instinct
Morgan Freeman
Prostate Playbook
The Main Ingredient
Looking Ahead
Virtual Health
A Place for Peace
Don’t Be So Vein
Reflux Relief
Catch the Spirit
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