Surgery is usually only considered if medical management and lifestyle modifications have proven ineffective. Indications for surgical repair include esophagitis secondary to reflux, inadequate response to lifestyle and medical management, or symptoms that are significant enough to impair quality of life. One of the primary surgical procedures performed for GERD is called a Nissen Fundoplication. Newer procedures strive to leave part of the vagus nerve intact while cutting only the portion that controls the acid secreting cells of the stomach. Stomach emptying may be impaired.
Iron deficiency can result from decreased acid secretion.
Risk of gallstones may be increased following gastric surgery. The antrum produces a hormone that stimulates stomach acid secretion. Vagotomy is often done in conjunction with antrectomy. Vomiting, delayed gastric emptying, dumping syndrome, decreased stomach capacity, diarrhea, nutrient malabsorption, cramps, and weight loss. Pyloroplasty Description of Surgery Potential Complications Pyloroplasty is another surgical procedure that may be performed along with a vagotomy.