Too Hot from page 17
acid travels up
to the voice box
and throat:' says
M.D., an otolar-
the center. "The reason we call it
silent reflux is because there is
no heartburn, which is the classic
symptom for reflux."
Treating heartburn typically
involves lifestyle modifications
and medications, most commonly
proton pump inhibitors (PPIs).
However, these medications
recently came under fire when the
Food and Drug Administration
warned consumers about a possi-
ble increased risk of hip, wrist and
spine fractures with high doses or
long-term use of the medications.
Among the most commonly pre-
scribed medications in the world,
PPIs reduce stomach acid produc-
tion, which is necessary for the
proper absorption of calcium.
"While medical treatment and
changes in behavior can provide
excellent control of symptoms in
many patients, careful follow-up
of patients with chronic reflux
remains extremely important,"
says Dr. Rontal.
"With some of the treatments
available at Beaumont, the damage
to the esophagus that is related
to acid reflux can actually be
reversed, reducing the long-term
risk of cancer that is associated
with chronic reflux."
Surgeons in the center offer
laparoscopic fundoplication, a
minimally invasive procedure that
helps to restore the valve that joins
the esophagus with the stomach,
thus keeping the acid from travel-
ing to the throat or lungs. The
center's surgeons also perform
EsophyX, an incisionless reflux
surgery that eliminates the basic
cause of reflux.
"Minimally invasive procedures
can end the need for long-term
drug therapy, eliminate nighttime
cough and improve chronic lar-
yngitis or asthma in patients with
reflux," says Robert Jury, M.D.,
director of the center and a gastro-
intestinal surgeon. ❑
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December 9 • 2010