Page 9 - Indulge December/January 2017
P. 9

Bye-Bye
Heartburn

Woman getsrelieffrom
chronic acid reflux with
a new procedure

                                                                                      Photo courtesy of Easton Hospital

Barney and Mary bellow on the                 “Some patients can control their acid    prevent any spasm caused by solid food                   December/January 2017 • indulge | 9
          front porch. The beagles greet   reflux through diet and lifestyle changes   from damaging the site of the hernia
 family and neighbors alike with their     alone,” says Mukherjee. “Others need        repair,” says Dr. Singhal.
 throaty howls. Jennie Youtz has had       medication. But an estimated 15 million
 beagles all her life.                     Americans use PPIs, and research now            Jennie didn’t mind the liquids or the
                                           indicates there are harmful side-effects    transition to soft foods.
     This pair have been with her for      from long-term use of those medicines.
 over a decade, but not nearly as long     With TIF, patients have an alternative.”       “I’ve learned to eat slower, take
 as she has had heartburn.                                                             smaller bites and not eat as much,”
                                               The procedure is noninvasive,           she says.
     For 20 years she has lived with       incisionless and performed through the
 acid reflux. While it hasn’t always       mouth. It takes less than an hour.              More importantly, she is feeling great.
 been bad, it has slowly gotten worse                                                     “I have not had any heartburn since
— both the burning in her throat and           In Jennie’s case, she had to first      my surgery and am now off my PPI,”
 the interrupted sleep. For years she      address a common ailment that               she says.
 has slept with her head elevated in       can accompany chronic acid reflux:              That’s big news. Plus she doesn’t
 hopes to keep the acid down.              a hiatal hernia. It occurs when a           have to give up any of her favorite foods.
                                           portion of the stomach pushes up               “The thought of losing coffee and
     She’s controlled it with various      through the diaphragm.                      chocolate, which aggravated my acid
 over-the-counter medications. But                                                     reflux, was terrible,” she says. “You
 she’s been reading the recent reports         Fellowship- and robotically-trained     might as well shoot me and put me out
 that indicate a connection between        bariatric and general surgeon Vinay         of my misery.”
 PPIs (Proton Pump Inhibitors) and         Singhal, M.D., worked in tandem with           “I can’t say enough about my doctors,
 malabsorption of vitamins and minerals,   Muhkerjee. Singhal used the surgical        the staff at Easton Hospital and the
 kidney disease and even dementia.         robot to complete the hernia repair         relief of being off my PPI,” she says.
                                           and then Muhkerjee used specialized        “Bye-bye heartburn; it’s time to live pain
    “I started to get scared of the long-  endoscopy tools to rebuild the              free and worry free.”
 term effects,” says Jennie. “And the      stomach valve.
 problem was getting worse. I started to                                                                                Shanker
 burp each night and spit-up a sour-           All Jennie knew was she “was in                                          Mukherjee, M.D.,
 tasting fluid.”                           good hands.”                                                                  gastroenterologist at
                                                                                                                        Easton Hospital.
     She made an appointment with her         “Dr. Muhkerjee rocks,” she says. “I’d
 gastroenterologist, Shanker Mukherjee,    do anything he recommends.”
 M.D., who suggested a new procedure
 that could resolve her acid reflux and        She woke from the procedure feeling
 allow her to stop taking her PPI.         good. “I wasn’t uncomfortable and
                                           didn’t have any pain,” she says.
     Called Transoral Incisionless
 Fundoplication, or TIF, the procedure          Jennie had to be on a liquid diet
 rebuilds the valve that prevents stomach  both before the procedure and afterward.
 acid from irritating the esophagus.
                                              “We want patients to drop a little
                                           weight prior to surgery and want to
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