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A New Era for GERD Treatment at MemorialCare

Gastroesophageal reflux disease (GERD) is a chronic and often debilitating condition for many individuals. Traditional treatments have primarily focused on reducing stomach acid, overlooking the crucial aspect of addressing the underlying causes of this distressing condition. MemorialCare, a reputable healthcare provider, is leading the charge by significantly expanding its advanced GERD care options with innovative procedures such as transoral incisionless fundoplication (TIF) and combined TIF with hiatal hernia repair (cTIF).

For patients suffering from GERD, understanding the root cause is essential for effective treatment. GERD usually occurs when the valve between the esophagus and stomach becomes weak or dysfunctional, allowing stomach contents—including acid—to flow back into the esophagus. The introduction of TIF offers a minimally invasive approach that utilizes advanced endoscopy techniques to reconstruct this valve through the mouth, thus avoiding any incisions on the external body.

MemorialCare stands out as one of only five hospital-based programs located in South Los Angeles and North Orange County that offer both TIF and cTIF procedures. This increases local access to state-of-the-art reflux care, providing patients an option that was previously not readily available in their local communities.

Dr. Jose Aranez, the medical director of Advanced Endoscopy at MemorialCare's Digestive Care Center, emphasizes the significance of combining procedures. “With cTIF, we’re not merely reducing acid; we are tackling the structural issues that lead to reflux. This combination of hiatal hernia repair with advanced endoscopy reconstructs the body’s natural barrier to reflux, which is essential for long-term relief,” he explains.

The palliative advantage of cTIF is notable as it combines two procedures into one, effectively addressing the issues related to a hiatal hernia while also targeting the malfunctioning valve. This not only saves patients from undergoing multiple surgeries in the future but also cuts down on costs and recovery times significantly.

In contrast to conventional anti-reflux surgeries, TIF and cTIF procedures present additional benefits such as less postoperative discomfort and a rapid return to normal activities, making them an appealing option for suitable candidates.

Dr. Aranez identifies ideal candidates for these procedures: “They are generally healthy individuals with chronic GERD who still experience symptoms despite medication and have a body mass index (BMI) under 35.” He further adds that for those with a hiatal hernia, the combined approach of cTIF is revolutionary in preserving both time and healthcare expenditure.

Patients interested in undergoing TIF or cTIF need to go through thorough evaluations, including endoscopy, reflux testing, and imaging studies, to ensure the right treatment pathway is chosen. Dr. Atif Iqbal, medical director of the Digestive Care Center at MemorialCare Orange Coast Medical Center, emphasizes the collaborative approach: “Our team systematically collaborates to assess each patient, tailoring their treatment based on individual anatomy, symptoms, and treatment requirements.” This multifaceted strategy ensures that patients receive personalized care aimed at their long-term health needs.

As November marks GERD Awareness Month, MemorialCare is dedicated to informing and educating the community about effective reflux management options. To explore further about the Digestive Care Center and the innovative treatments they offer, visit memorialcare.org/digestivecare.

MemorialCare is well-regarded as a not-for-profit, integrated healthcare system with over 200 care locations, offering services that range from surgery to rehabilitation. This organization continues to evolve by incorporating advanced medical solutions that cater to the comprehensive needs of its patients, ensuring no one has to journey far for high-quality healthcare. Their advanced facilities and dedicated staff have earned national recognition, making MemorialCare a beacon of hope for those affected by GERD and other serious medical conditions.