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You or the Man in Your Life Have Heartburn? Read about this New Procedure at Silver Cross

You or the Man in Your Life Have Heartburn? Read about this New Procedure at Silver Cross

Robert Permut, retired psychiatrist, didn’t have the classic symptoms of acid reflux, but he ended up being an ideal candidate for a new procedure offered at Silver Cross Hospital. It started almost eight years ago in 2010 when he had a persistent cough that didn’t seem to go away.

After tests revealed significant signs of reflux, he was referred to Dr. Kamran Ayub, board certified gastroenterologist and Medical Director of the Advanced Endoscopy Center at Silver Cross Hospital.

Dr. Ayub prescribed medication that helped relieve the cough and treat the reflux. Dr. Permut took the medications for several years, however, the side effects were starting to affect his daily life.

“I didn’t want the open surgery to fix the issue. So I asked Dr. Ayub about the newer procedures that have come out and to see if I was a good candidate,” Dr. Permut said.

He ended up being an ideal candidate for the TIF procedure (transoral incisionless fundoplication). The procedure is done without making any incisions and is performed through the patient’s mouth.

The TIF procedure has become an established treatment, and Silver Cross recently acquired the latest technology, the EsophyX Z device. The EsophyX Z technology is used to reconstruct the antireflux valve between the esophagus and stomach. The antireflux valve opens and closes to allow food to pass into the stomach, but it also acts as a barrier to acid in the stomach from getting into the throat and causing acid reflux.

Once patients are unable to control GERD symptoms on medications, like in Dr. Permut’s case, their only treatment option had been to consider traditional surgery performed laparoscopically with small incisions in the patient’s abdomen. The TIF procedure, similar to an endoscopy, is done through the mouth, which decreases recovery time.  Dr. Ayub has been performing the TIF procedure since 2008.

“The TIF procedure is a great option for anyone, man or woman, with moderate to severe reflux. Especially those who cannot tolerate anti-reflux medication, who are young, has side effects from these medications, or does not want to take these medications for other reasons should consider the procedure.”

It wasn’t until he had an acid reflux test done in preparation for the procedure that Dr. Permut experienced severe heartburn.

“I had to go off the medications for the test, and that’s when the heartburn was incredibly severe,” he said. However, once the procedure was complete on March 6, the heartburn was gone.

Dr. Permut is completely off one of the medications he had been on, and hopes to be off the other medication sometime in May. He also no longer has any restrictions in his diet.

“By in large, I’ve been great since the procedure,” he said. “I know most people who have this will focus on the heartburn, but for me it was getting rid of the persistent cough.”

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