fbpx

Gastroesophageal Reflux Disease

Gastro-oesophageal reflux disease (GORD) is a common condition where stomach acid leaks back up into the oesophagus, which runs from your throat to your stomach. It is usually caused by a weakening of the ring of muscle at the bottom of the oesophagus. About a quarter of the population will experience an episode every year. GORD is often a chronic condition, which means that you may experience recurring symptoms. In some cases, acid reflux causes damage to the lining of the oesopaghus and needs careful treatment to avoid the development of complications such as ulcer, stricture or even cancer formation.

How common is Gastroesophageal Reflux Disease?

GORD is the most common diagnosis made by doctors in gastroenterology clinics and is thought to affect at least 10% of adults in western countries. The most common symptom of GORD is heartburn with 12% of Western populations experiencing heartburn once a week with 5% experiencing heartburn once a day.

Some GORD patients never experience heartburn but may have less common symptoms such as pain when swallowing, nausea and excess saliva. For many sufferers the symptoms of GORD can impact significantly on the ability to perform daily activities and can impact on quality of life.

What are the symptoms of Gastroesophageal Reflux Disease?

The main symptom of gastroesophageal reflux disease is heartburn but you can also feel pain in the upper abdomen or chest. Patients can feel sick and experience acid reflux where stomach acid comes back into your mouth causing an unpleasant, sour taste.

Other symptoms are belching, a burning pain when swallowing hot drinks and bad breath. Symptoms usually occur after a large meal, or at night and may feel worse when you are lying flat.

How is Gastroesophageal Reflux Disease diagnosed?

An endoscopy examination using a thin, flexible telescope passed down the oesophagus into the stomach will give the specialist an accurate indication of the health of your oesophagus.

If reflux oesophagitis is suspected during endoscopy, then several small biopsies are taken from the lining of the oesophagus to determine the severity of the condition.

Sometimes, specialised acid measurement tests are needed to confirm the diagnosis. Doctors can also ask for a barium swallow or barium meal that uses a solution and x-rays to chart blockages or abnormalities in the oesophagus.

Treatment of Gastroesophageal Reflux Disease

Lifestyle factors such as weight loss, dietary manipulations and smoking cessation are the first line of treatment. You can vary the amount you eat at meal times, maintain a healthy weight and avoid items that commonly trigger GORD such as coffee, chocolate, tomatoes, alcohol, fatty or spicy food. Drugs may be used to suppress the production of acid in the stomach and therefore reduce the amount of acid available to reflux into the oesophagus. These are well tolerated and effective.

Fundoplication

In severe cases of GORD that cannot be treated by medication, individuals may be referred to a surgeon who may recommend a complex surgical procedure called fundoplication. Fundoplication involves wrapping the upper part of the stomach (fundus) around the lower end of the oesophagus and stitching it in place to artificially reinforce a weak lower oesophegeal sphincter. When performed by expert GI surgeons in specialised centres, fundoplication is generally acknowledged as an effective and durable therapy for advanced GORD or patients with a large hiatus hernia. Often there can be unwanted side effects such as the inability to belch or vomit, which can cause some patients to be reluctant to proceed with this surgery.

The Linx System

The Linx System is suitable for chronic GORD sufferers who do not respond fully to medication. The Linx System is a simple procedure designed to provide a permanent solution to GORD by stopping reflux at its source. The operation does not alter the anatomy of the stomach and may be reversible if necessary.

What is the Linx Reflux Management System?

The LINX System is a medical device which is placed around the Lower Oesophageal Sphincter (LOS) using a simple technique called laparoscopy (keyhole surgery). The device consists of a small flexible band of interlinked titanium beads with magnetic cores and is placed around the LOS in the closed position. The beads will separate temporarily as the force a swallow allows good and drink to pass into the stomach. The magnetic attraction between the beads then brings the device back to the closed position to prevent reflux occurring. The magnets are calibrated to allow higher gastric pressures to open the device, but will not open for the lower gastric pressure of reflux. This means that the device will also open if there is a need to release increased pressure in the stomach (when belching or vomiting).

Who is the Linx System suitable for?

It is suitable for people who suffer from GORD. In addition, the individual should be able to swallow normally, have a healthy oesophagus and this is sometimes assessed using Manometry.

How effective is the Linx System?

A clinical study looked at the extent to which the Linx System had helped patients five years after it had been implanted. The results showed that the GORD symptoms had improved significantly, and that 85% of patients were able to stop daily PPI medication. Reassuringly, these patients also said their quality of life had improved.

Contact us

At The GI Unit, Mr Majid Hashemi regularly performs the Linx procedure and has been published in various news articles regarding the success of the Linx system. For any questions on Gastroesophageal Disease (GORD) or for more information on the Linx system you can contact us by calling 020 7078 3802 or by emailing us at gi.unit@hje.org.uk.

Our gastrointestinal specialists team have a dedicated and caring approach and will seek to find you the earliest appointment possible with the correct specialist for your needs. If you are self-paying you don’t need a referral from your GP.

You can simply refer yourself and book an appointment. If you have medical insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer for authorisation for any treatment and, in most cases, you will require a referral letter from your GP. If you do not have a GP, then we have an in-house private GP practice that you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstance.

prolapse treatment london

GI Clinic

The GI Unit is supported by a multidisciplinary team of medical and surgical consultants. Our expert team treats and supports patients with any gastrointestinal conditions.

A patient speaking to a receptionist

Patient information

Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

Make an enquiry

If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 020 7078 3802.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

*Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

    Make an enquiry

    Latest articles

    The latest news, insights and views from St John and Elizabeth Hospital.

    Find out what we’re doing to keep you safe, read expert articles and interviews with our leading specialist Consultants, learn more about common conditions and get your questions answered.

    05th July 2022

    What to expect as you recover from a stroke

    The sooner you begin therapy after a stroke, the more likely you are…

    first signs of mini-stroke

    24th May 2022

    The first signs of a mini-stroke and how to recover

    Having a stroke is a frightening experience, which over 100,000 people go through…

    home remedies for stomach pain

    05th May 2022

    Home remedies for stomach pain and when you should go to the hospital

    We all know what it’s like to have an upset tum or be…

    About hje hospital

    18th March 2022

    About St John & St Elizabeth Hospital

    Over the coming months, in planned phases, we’re opening the last few areas…

    health insurance

    18th March 2022

    Should you get health insurance?

    When it comes to paying for private healthcare, there are two main options…

    staying healthy while travelling

    17th March 2022

    5 tips for staying healthy abroad

    After the past couple of years we’ve had, you might be itching to…

    Private Cyst Removal

    20th January 2022

    What are cysts, and is cyst removal always needed?

    Cysts are a common skin condition, but what causes them, and do you…

    treatment after stroke

    18th January 2022

    Treatment after a stroke: What can you expect?

    A stroke occurs every five minutes in the UK. Post-stroke treatment is critical…

    medical professional looking into microscope

    12th January 2022

    Under the microscope: The many benefits of private healthcare

    Whatever your situation, there might come a point when you consider going private…

    shoulder pain

    11th January 2022

    What causes shoulder pain and what can you do about it?

    The shoulder is made up of various joints and tendons that allow a…

    gallbladder attack

    04th December 2021

    Are you having a gallbladder attack? Find out more about the causes, symptoms and treatment

    A gallbladder attack can happen at a moment’s notice and cause aggressive pain….

    overactive bladder

    02nd December 2021

    Constantly need to pee? How to treat an overactive bladder

    If you regularly get the feeling that you’ve “got to go”, you’re not…