Acidez estomacal y reflujo
Estas dos afecciones suelen afectar el aparato digestivo. El reflujo, también conocido como reflujo gastroesofágico, se produce cuando el ácido del estómago vuelve a subir por el esófago y se dirige a la boca. La acidez estomacal, una sensación de ardor en el pecho, es un síntoma de reflujo.
Treatment for heartburn and acid reflux in Florida
You may find yourself needing to constantly take medication and battle the symptoms of heartburn and indigestion.
With our robust network of specialists, HCA Florida Healthcare's hospitals offer digestive specialists across the state. They are a collaborative network of experts who are devoted to caring for your gastric health needs. At our digestive health centers, they work together to provide you with a streamlined and comprehensive approach to your care.
Especialidades relacionadas
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The difference between heartburn, acid reflux and GERD
Heartburn, acid reflux and GERD are often used interchangeably. However, even though they relate to each other, they are different from one another. These conditions and their relationship are as follows:
- What is acid reflux? This is the process of stomach acid refluxing back into the esophagus and indicates a structural problem with the lower esophageal sphincter (LES).
- What is GERD? This is a chronic, more severe form of acid reflux. A GERD diagnosis indicates that a patient is experiencing acid reflux more than two times per week on a consistent basis.
- What is heartburn? This term refers to a burning sensation in the chest, but it is actually taking place in the esophagus, not the heart. Heartburn is not a condition, but rather a common symptom of both acid reflux and GERD.
Diagnostic testing services we offer for heartburn
Our gastroenterology services include comprehensive GI diagnostics. Using these tests, your doctor can better understand your heartburn and reflux symptoms and their effects on your body. GI testing options we offer include:
Capsule-based pH monitoring
This is a wireless capsule implanted just above your lower esophageal sphincter (LES). It allows you to go on with normal daily activities without the tube inside your nose, while we are able to obtain 24 to 48 hours' worth of data measuring the acid exposure to the esophagus.
The wireless capsule transmits information to a receiver that you clip on your clothing. During the day, you press a button on the receiver when you are having symptoms. This enables us to correlate moments of acid reflux with symptoms.
Endoscopy
This procedure is performed while you are under sedation. It involves the physician placing a camera through the mouth to visualize the esophagus, stomach and small intestine.
In moderate to severe cases of acid reflux, the lining of the esophagus appears inflamed. Endoscopy can also rule out any tumors or narrowing of the esophagus. If there is an abnormal transformation of the lining of the esophagus, your gastroenterologist may biopsy the area to rule out Barrett's esophagus or esophageal cancer.
Esophageal manometry
A thin, pressure-sensitive tube is passed through your mouth or nose into your stomach. When the tube is in your esophagus, you are asked to swallow sips of water. The pressure of the muscle contractions is measured along the length of your esophagus.
This procedure is typically done without sedation, but minimal sedation is used if a patient cannot tolerate the examination. After the test is completed, the manometry is used to measure the LES effectiveness at preventing reflux.
Esophagram
During an esophagram, you drink either a barium or a water-based contrast that coats your upper digestive tract. This provides a clear image of your esophagus, stomach and the upper part of your small intestine on an X-ray. This study is helpful in seeing complications of reflux, such as esophageal strictures and ulcers, throughout the upper GI tract.
Other diagnostic tests we offer
- 24-hour esophageal pH monitoring
- Abdominal ultrasound
- Barium swallow test
- Esophagogastroduodenoscopy (EGD)
- Gastric emptying study
- Hepatobiliary iminodiacetic acid (HIDA) scan
- Upper GI series
GERD treatment
Often, over-the-counter medications, dietary changes and lifestyle changes can help control or limit the symptoms associated with GERD. However, if lifestyle changes and noninvasive treatments do not relieve your symptoms, surgery may be an effective option.
Acid reflux and GERD surgery
There are times when the underlying cause of GERD cannot be resolved with medications or other noninvasive treatments. In these cases, we offer specialized surgical options, including Nissen fundoplication and transoral incisionless fundoplication (TIF).
If your gastroenterologist suggests GERD surgery, they will discuss with you which option will be effective for your unique condition. Often, we are able to use minimally invasive procedures to treat GERD. Minimally invasive surgical techniques, such as robotic surgery, allow our surgeons to make very small incisions, which typically result in a faster recovery for you.
Our teams will be with you throughout your surgical experience — from preoperative care to recovery — to ensure you feel secure and well-informed throughout your treatment.
Our heartburn and acid reflux care teams
HCA Florida operates with a robust network that is dedicated to you and improving your overall health. By working collectively and collaboratively, our GI doctors, abdominal surgeons and abdominal pain specialists provide you with excellent, multidisciplinary GI services.
Symptoms of GERD
- Hoarseness or sore throat
- Frequent swallowing
- Asthma or asthma-like symptoms
- Pain or discomfort in the chest
- Sleep disruption
- Bloating
- Excessive clearing of the throat
- Persistent cough
- Burning in the mouth or throat
- Intolerance of certain foods
- Dental erosions or therapy-resistant gum disease or inflammation
Minimally Invasive Surgical Treatment Options
We offer surgical solutions for GERD.
In addition to traditional endoscopic treatments, we also offer
- TIF, or Transoral Incisionless Fundoplication: a minimally invasive endoscopic procedure that restores function of the gastroesophageal valve, preventing stomach acids refluxing back into the esophagus.
- C-TIF, or Concomitant Transoral Incisionless Fundoplication: a variant of the TIF procedure where surgeons perform a hiatal hernia repair with the TIF procedure. This procedure is typically for patients with larger hiatal hernias in addition to GERD.
How we treat GERD
Many of our treatment options include minimally invasive procedures to help you recover quicker and get back to your life faster. We perform the following treatments: Heller myotomy, Nissen fundoplication, lower esophageal sphincter augmentation, endoscopic stapling and medical management with endoscopic surveillance