Persistent Heartburn Can Be Treated

DANBURY — At least 44 percent of Americans say they experience heartburn at least once a month, making this digestive problem a widespread cause of concern for many.

The problems of gastroesophageal reflux disease were discussed by two Danbury Hospital physicians at the hospital’s recent Medical Town Meeting, “Extinguishing the Fire: Medical and Surgical Treatment of Reflux Disease.”

 “People with heartburn often have often a worst quality of life than people with angina and other heart problems,” said Dr Joseph Fiorito, the hospital’s chief of gastorenterology.

Many patients have esophagitis, inflammation of the esophagus, from the heartburn, while others suffer from gastroesophageal reflux disease (GERD). GERD is a backflow of acid from the stomach into the esophagus. Sometimes the esophagus can become so inflamed from the acid that people will be hoarse, according to Dr Fiorito. They can even have pulmonary problems, such as chronic cough, asthma, dental erosions, sinus problems, and ear infections, he added.

But GERD can be treated, including dietary changes that eliminate fatty foods. Caffeine, citrus acid, soda, peppermint, and chocolate are also bad for GERD.

Dr Fiorito also recommends avoiding alcohol and cigarettes, and elevating the head of one’s bed at night with a foam wedge under the mattress. Over-the-counter solutions can also help, as can prescription medications.

 Another solution to GERD is a new laproscopic surgical procedure, according to Dr Keith Zuccala, director of laproscopic surgery at the hospital. “This is the only treatment that leads to a cure,” he said. “Medications just treat the symptoms of heartburn.”

The surgery restores the valve at the bottom of the esophagus that prevents the backflow of acid from the stomach into the esophagus. The minimally invasive surgery involves making five small incisions in the abdomen, and patients are able to go home the same day or the next day.

With this surgery, 90 to 95 percent of patients have relief.

 “Surgery isn’t a last-ditch effort, it’s a cure,” said Dr Zuccala.