Fundoplication Center - Bethesda, MD
Bethesda Surgeon Doctors for FundoplicationType of Physician: Surgeon What is a Surgeon? A certification by the Board of Surgery; practitioners manage a wide range of surgical conditions affecting almost any area of the body. The surgeon provides the diagnosis and the care to patients before, during and after surgery. The surgeon is usually responsible for the comprehensive management of trauma victims and the critically ill. The surgeon has special knowledge and skills in birth defects, tumors, infections and metabolic problems relating to the head and neck, breast, abdomen, extremities including the hand, and the gastrointestinal, vascular and endocrine systems. A general surgeon is expected to be familiar with the most relevant features of other surgical specialties in order to recognize problems in those areas and to know when to refer a patient to another specialist. Specialty: Surgery Common Name: Surgeon Doctors in Bethesda * Womans Surgery Center  Juvenal R Goicochea MD  James Robey MD  Thomas G Zorc MD  William C Liu MD  Colette Magnant MD  Foot & Ankle Specialists of Maryland LLC  Katherine Alley MD  Daza Schechner & Kreutz MDs  Ernest Hanowell MD PC  Daza Schechner & Kreutz MDs  Max H Cohen MD  Alan Kravitz MD  Dany Westerband MD  Betsy Ballard MD & Ira N Brecher MD PA  Betsy Ballard MD & Ira N Brecher MD PA  Eric Oristian MD  Thomas C Militano MD  Lawrence R Starin MD  Augustus Hill MD  Alternative Primary Care  Daee Said MD  Washington Regional Cardiac Surgery PC  Washington Regional Cardiac Surgery PC  Takoma Surgical Associates  Takoma Surgical Associates  Takoma Surgical Associates  Garry D Ruben MD  Surgery Center of Maryland  Inpatient Surgery Consultant  Cary Brown MD  Inpatient Surgery Consultant  Horizon Surgical Group  Inpatient Surgery Consultant  Advanced Surgery PC  Horizon Surgical Group  Robert H Varney MD  Arthur Woodward MD  Haluk B Boneval MD  Gustavo Restrepo MD  Dong Soo Hwang MD  Mohammad A Khan MD  Limpuangthip & Limpuangthip MDs  Metropolitan Surgical Care  Willie C Blair MD  Daee Said MD  Jamshid Taheri MD  Bijan Bahmanyar MD  Vijayan Charles MD  Brajendra N Misra MD  Advanced Surgery PC  Kuldeep Singh MD PA  Habib A Bhutta MD  Rene L Gelber MD  Frank General Medical Service PC  Okenwa R Nwosu MD  Udayan Shah MD  Largo Foot & Ankle Health Center  Donna M Pittman MD  Michelle D Thomas MD  Gangagee Balkissoon MD  Elias G Debbas MD  Felipe A Rodriguez MD  Robert L DeWitty MD  Maryland Surgeons  Maryland Surgeons  Maryland Surgeons  Maryland Surgeons  Universal Surgical Associates  Surgical Associates  Arnaldo A Garro MD & Associates  Surgical Associates  Surgical Associates  Surgical Associates  Surgical Associates  Pedro R Ceppa MD FACS  Abdel Aziz El Said MD  Davis Geis & Franklin MDs PA  Stephan U Hochuli MD  Maryland Surgeons  Jayant B Desai MD  John R Johnson MD  Maryland Surgeons  Aleyamma & James Mathew MDs  Ashwin L Nanavati MD LLC  Maryland Surgeons  Maryland Surgeons  Jerry Katz DPM  The Aiello Breast Center  Sang K Han MD  Geoffrey H Saunders MD  Dariush Doorandish MD  Shanker L Gupta MD  Dave Y Choi MD  Ashwin L Nanavati MD LLC  Ashwin L Nanavati MD LLC  Gregory Gurfinchel MD  Viney R Setya MD  St Agnes Hospital Surgery Oncology  St Agnes Hospital Surgery Oncology Bethesda, MarylandUpcoming Local Events2012-06-02
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FundoplicationRead the Fundoplication article » What is fundoplication?Fundoplication is the standard surgical method for treating gastro-esophageal reflux disease (GERD). GERD causes inflammation, pain (heartburn), and other serious complications (such as scarring and stricture) of the esophagus. GERD results when acid refluxes (regurgitates, or backwashes) from the stomach back up into the esophagus. Under normal conditions, there is a barrier to reflux of acid. One part of this barrier is the lower-most muscle of the esophagus (called the lower esophageal sphincter). Most of the time, this muscle is contracted (constricted, or tight), which closes off the esophagus from the stomach. In patients with GERD, the sphincter does not function normally. The muscle is either weak or relaxes inappropriately. Fundoplication is a surgical technique that strengthens the barrier to acid reflux when the sphincter does not function normally. What happens during fundoplication?During the fundoplication procedure, the part of the stomach that is closest to the entry of the esophagus (the fundus of the stomach) is gathered, wrapped, and sutured (sewn) around the lower end of the esophagus and the lower esophageal sphincter. (The gathering and suturing of one tissue to another is called plication.) This procedure increases the pressure at the lower end of the esophagus and thereby reduces acid reflux. Also, during fundoplication, other surgical steps frequently are taken that also may reduce acid reflux. For instance, if the patient has a hiatal hernia (which occurs in 80% of patients with GERD), the hernial sac may be pulled down from the chest and sutured so that it remains within the abdomen. Additionally, the opening in the diaphragm through which the esophagus passes from the chest into the abdomen also may be tightened. Fundoplication may be done using a large incision (laparotomy in the abdomen or thoracotomy in the chest) or a ... Recommended Reading Related to FundoplicationWhat is achalasia?Achalasia is a rare disease of the muscle of the esophagus (swallowing tube). The term achalasia means "failure to relax" and refers to the inability of the lower esophageal sphincter (a ring of muscle situated between the lower esophagus and the stomach) to open and let food pass into the stomach. As a result, patients with achalasia have difficulty in swallowing food.
How does the normal esophagus function?The esophagus has three functional parts. The uppermost part is the upper esophageal sphincter, a specialized ring of muscle that forms the upper end of the tubular esophagus and separates the esophagus from the throat. The upper sphincter remains closed most of the time to prevent food in the main part of the esophagus from backing up into the throat. The main part of the esophagus is referred to as the body of the esophagus, a long, muscular tube approximately 20 cm (8 in) in length. The th... Other Related Fundoplication ArticlesEmergency Contact for Bethesda
Nearby Bethesda Hospitals *National Institutes of Health Suburban Hospital Psychiatric Institute of Washington Sibley Memorial Hospital Holy Cross Hospital Walter Reed Army Medical Center Georgetown University Hospital Washington Adventist Hospital National Rehabilitation Hospital Washington Hospital Center Washington DC VA Medical Center Children's National Medical Center Howard University Hospital The George Washington University Hospital Providence Hospital The HSC Pediatric Center Virginia Hospital Center The Specialty Hospital of Washington Dominion Hospital Shady Grove Adventist Hospital Adventist Rehabilitation Hospital of Maryland Potomac Ridge Behavioral Health Adventist HealthCare Gladys Spellman Specialty Hospital Prince George's Hospital Center Saint Elizabeth's Hospital Inova Alexandria Hospital Inova Fairfax Hospital Inova Fairfax Hospital for Children Northern Virginia Mental Health Institute Montgomery General Hospital United Medical Center The Specialty Hospital of Washington-Hadley Doctors Community Hospital Laurel Regional Hospital Reston Hospital Center Inova Fair Oaks Hospital Inova Mount Vernon Hospital Fort Washington Hospital Howard County General Hospital Southern Maryland Hospital Center Inova Loudoun Hospital Center Sheppard Pratt at Ellicott City Prince William Hospital Potomac Hospital North Spring Behavioral Healthcare Baltimore Washington Medical Center Graydon Manor Behavioral Health Spring Grove Hospital Center Springfield Hospital Center Anne Arundel Medical Center Saint Agnes Hospital Kernan Hospital Northwest Hospital Harbor Hospital Center Bon Secours Baltimore Health System Civista Medical Center University of Maryland Medical Center Baltimore VA Medical Center University Specialty Hospital Maryland General Hospital Mercy Medical Center Levindale Hebrew Geriatric Center & Hospital Kennedy Krieger Institute Sinai Hospital of Baltimore Frederick Memorial Hospital Johns Hopkins Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
Suggested Reading on Fundoplication by Our Doctors
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Related Diseases & Conditions
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Gastroesophageal Reflux Disease (GERD)
- GERD (gastroesophageal reflux disease) is a condition in which the acidified liquid contents of the stomach backs up into the esophagus. The symptoms of uncomplicated GERD are heartburn, regurgitation, and nausea. Effective treatment is available for most patients with GERD.
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Hiatal Hernia
- A hiatal hernia is an anatomical abnormality in which part of the stomach protrudes through the diaphragm and up into the chest. Causes of hiatal hernia are a larger than normal esophageal hiatus. There are two types of hiatal hernias, sliding, or para-esophageal. When symptoms of hiatal hernia appear, they are similar to GERD symptoms. Hiatal hernia treatment is generally surgery.
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Barrett's Esophagus
- Barrett's esophagus occurs as a complication of chronic gastroesophageal reflux disease (GERD), primarily in white males. GERD refers to the reflux of acidic fluid from the stomach into the esophagus (the swallowing tube), and is classically associated with heartburn.
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Esophagitis
- Esophagitis is caused by an infection or irritation of the esophagus. Infections that cause esophagitis include candida yeast infection of the esophagus as well as herpes.
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Achalasia
- Achalasia is a disease of the esophagus that mainly affects young adults. Abnormal function of nerves and muscles of the esophagus causes difficulty swallowing and sometimes chest pain.
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GERD and Acid Reflux in Infants and Children
- GERD (gastroesophageal reflux disease) is the upward movement of stomach content, including acid, into the esophagus and sometimes into or out of the mouth. Common symptoms of GERD in children include colic, feeding problems, poor growth, frequent vomiting or coughing, heartburn, regurgitation, recurrent wheezing, pneumonia, choking, or gagging. Treatment may involve elevating the child's bed, keeping the child upright after eating, limiting foods that seem to make the reflux worse, encouraging your child to exercise, and serving several small meals a day.
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Schatzki's Ring
- Schatzki (Schatzki's) ring, is a narrow ring of tissue located just above the junction of the esophagus and stomach. The cause of Schatzki ring is not clearly known, however, some doctors believe they are caused by long term acid reflux. The symptoms of a Schatzki ring is primarily poorly chewed food that stays in chunks becoming stuck in the esophagus. Diagnosis of Schatzki's ring is barium x-ray or endoscopy. Treatment is generally a procedure to stretch or fracture the rings.
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The Digestive System
- Digestion is the complex process of turning food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food.
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Heartburn
- Heartburn is a burning sensation experienced from acid reflux (GERD). Symptoms of heartburn include chest pain, burning in the throat, difficulty swallowing, the feeling of food sticking in the throat, and a burning feeling in the chest. Causes of heartburn include dietary habits, lifestyle habits, and medical causes. Treatments for heartburn include lifestyle changes, OTC medication, prescription medication, and surgery.
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Reflux Laryngitis
- Acid backing up into the larynx (voice box), it causes reflux laryngitis. Irritation of the lining of the esophagus, larynx, and throat can lead to esophagitis, sinusitis, strictures, hoarseness, throat clearing, swallowing problems, asthma, chronic cough, and more. Typical symptoms of reflux laryngitis include heartburn, hoarseness, or a sensation of a foreign body in the throat. Reflux laryngitis can be treated with OTC medication, prescription medication, and lifestyle changes.
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