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
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

Vim & Vigor - Summer 2013 - North Mississippi