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Reflux Esophagitis (GERD) — LINX System: treatment in the Best Hospitals of Germany

Academic Hospital Regio Pinneberg

9.1/10
location_onGermany, Pinneberg

Department for Gastroesophageal Reflux Disease

The Department for Gastroesophageal Reflux Disease offers all the options of modern medicine for the elimination of this disease. The department's specialists give preference to an individualized treatment approach, and therefore they comprehensively assess each clinical case and select the necessary complex of therapeutic measures for each patient. Whenever possible, the doctors use conservative methods, but patients with advanced stages of gastroesophageal reflux disease (GERD) require surgery. The team of the department's surgeons has excellent skills in Nissen fundoplication and LINX Reflux Management System implantation, which are the most effective for GERD treatment. In most cases, the department's surgeons perform interventions using sparing minimally invasive techniques, which require only a few skin incisions to form a surgical access. Such progressive operations contribute to the speedy recovery of the patient after surgery, and also minimize the risks of developing severe bleeding and infections.

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Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of diagnostics and surgical treatment in these fields. The department's surgeons perform about 2,000 surgical procedures annually. The therapeutic options cover not only operations on the digestive tract and abdominal organs, but also surgical treatment for soft tissue traumatic injuries, removal of skin and thyroid tumors, including the partial removal. With appropriate clinical indications, the preference is given to minimally invasive techniques, which guarantee the patient minimal postoperative risks and speedy recovery. Also, the department’s scope of activities includes the installation of port systems for chemotherapy and parenteral nutrition.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the best departments in Germany specializing in bowel cancer treatment! The department covers the full range of services in these medical fields and holds the leading position at the national and international level in terms of the number of surgical interventions performed and their success rate. Of particular interest are operations to treat cancer, organ transplants, as well as minimally invasive surgery.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel and lung cancer! The department offers all the modern surgical options for the treatment of diseases of the abdominal cavity and blood vessels. The department's doctors have expert knowledge and vast experience in the treatment of colorectal cancer, stomach, esophageal, pancreatic cancers, liver metastases, inflammatory bowel diseases (diverticular disease, Crohn's disease, ulcerative colitis). Also, they specialize in the surgical treatment of vascular pathologies and thyroid diseases.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of surgical treatment of diseases of the esophagus and abdominal organs, thyroid and parathyroid glands, as well as the interventions in bariatric surgery. The surgeons of the department have a deep knowledge in all open and minimally invasive surgical techniques, perform extensive operations of high complexity with maximum safety for the patient.

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery ranks among the top German medical facilities specializing in bowel cancer treatment! The department performs surgical treatment of general surgical diseases, abdominal pathologies, and also specializes in organ transplantation. Of particular interest are surgical oncology of the abdominal organs, as well as pancreatic and liver surgery. The department annually performs more than 3,000 surgical interventions, which contributes to its credibility at the national level.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The Department of Abdominal, Thoracic and Vascular Surgery offers all modern surgical interventions in these fields. Specialization covers the treatment of diseases of the abdominal organs, endocrine glands, pathologies of the lungs and chest wall, pathological vascular lesions of all parts of the body. In addition, kidney transplantation and pancreas transplantation are part of the surgeons' tasks. Whenever possible, operations are performed using minimally invasive techniques that have several advantages over classical interventions.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the Focus magazine, the Department of General and Abdominal Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of classical and minimally invasive methods for the treatment of common surgical diseases, cancer pathologies, diseases of the endocrine organs, proctological problems. The specialization also covers transplant surgery (liver, kidney and pancreas transplantation). The department is certified by the German Cancer Society for its outstanding results in the treatment of bowel, pancreatic, stomach and liver cancers.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the Focus magazine, the Department of Abdominal, Thoracic and Vascular Surgery is included in the ranking of the top German departments specializing in colon cancer treatment! The department offers the full range of services in these medical fields. It provides the surgical treatment of diseases of the gastrointestinal tract, thyroid and parathyroid glands, thoracic organs and blood vessels. Special focus is on the treatment of gastrointestinal cancer. With appropriate clinical indications, preference is always given to minimally invasive surgical techniques.

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel cancer! The department offers the full range of surgical treatment of diseases of the abdominal organs and blood vessels, including the transplantation of abdominal organs. The sparing minimally invasive surgical techniques are widely used in the clinical practice, which allow to provide treatment in simple and complex clinical cases by making small incisions and using special tiny surgical instruments. The exceptional experience and profound knowledge of the department's doctors are also an integral part of the high treatment success rates.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

The Department of General, Abdominal, Vascular and Endocrine Surgery offers the full range of medical services in these fields. The department specializes in the surgical treatment of gastrointestinal cancers (surgical treatment of pancreatic, liver, stomach, esophageal and colon malignancies), hernia repair, treatment of gastrointestinal inflammatory diseases, endocrine surgery and surgical correction of vascular diseases and defects. The treatment of patients is carried out in close cooperation with the experts from related fields, particularly, with oncologists, gastroenterologists, radiologists, angiologists, etc.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of services in these medical fields and guarantees the first-class medical care at the university level. The department specializes in the treatment of diseases of the abdominal cavity, esophagus and thyroid gland, transplantation of liver, kidney and pancreas. The medical facility has won the reputation of one of the three largest and most successful Transplant Centers in Germany. Also, within the clinical practice, doctors hold highly-specialized consultations on rare diseases and provide 24-hour emergency care. 

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the Department of General, Abdominal and Thoracic Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of surgical treatment of diseases of the thorax and abdomen, endocrine glands, blood vessels and morbid obesity. If possible, the preference is always given to sparing minimally invasive surgical techniques. The department performs more than 3,000 outpatient and about 2,600 inpatient interventions every year. The department has one of the largest interdisciplinary Obesity Centers, as well as one of three supraregional Centers for Pancreatic, Stomach and Esophageal Surgery.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

The Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery covers the whole range of services in these fields. The department specializes in the treatment of diseases of the upper and lower gastrointestinal tract, liver, gallbladder, pancreas, thyroid and parathyroid glands, adrenal glands, as well as overweight. In addition, the department is a recognized Center for Vascular and Pediatric Surgery.

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal, Adult and Pediatric Transplant Surgery ranks among the top German departments specializing in the treatment of bowel cancer! The department specializes in the treatment of tumors of the gastrointestinal tract, pancreas, liver, and retroperitoneal space (peritoneal carcinomatosis), liver, kidney, pancreas, bowel transplantations in children and adults, as well as the surgical treatment of obesity and general surgical interventions.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

The Department of Surgery offers the full range of services in this field and specializes in general, abdominal, thoracic, transplant surgery. The medical team of the department, consisting of 10 specialized senior physicians, 30 medical specialists and assistant physicians, as well as highly motivated nursing staff, provides first-class treatment of tumors, inflammatory and degenerative diseases of the esophagus, stomach, intestines, pancreas, liver, gallbladder, spleen, lungs, thyroid and parathyroid glands. The department is headed by Prof. Dr. med. Helmut Friess.

Gastroesophageal reflux disease (GERD) is a widespread medical condition. In the last decade, esophageal reflux disease has been in the area of increased attention due to a tendency of severe reflux esophagitis appearance and an increase in cancer of the esophagus development. The minimally invasive surgery with LINX reflux management system placement is a novel approach that guarantees complete GERD cure.

Overview

Reflux esophagitis is the return of stomach and/or duodenal contents into the esophagus. This physiological phenomenon is widespread and is noticed in generally healthy patients of any age. Therefore, it is often called simply reflux, although pathological "reverse flow" is observed in other body systems (e.g., the cardiovascular system with malformations). In general, reflux disease (or some of its manifestations) as a pathology, occurs in about 40% of the adult population. The prevalence of reflux esophagitis in developed countries reaches 50-60% and is growing steadily every year.

The prognosis for patients with reflux esophagitis is determined by the complications of the disease, such as peptic stricture, Barrett's esophagus, and ulcerative lesions of the esophagus. The drug therapy schemes with the use of modern and most effective drugs have significantly reduced the risk of complications and increased the quality of life of patients. However, it must be noted that the cause of the development of the disease is an organic pathology, and it is sometimes not possible to influence it with certain medical preparations.

Symptoms

There’s a medical saying: "It is impossible to describe heartburn to someone who has never experienced it, and there is no need to explain it to someone who has it". Heartburn, a tearing burning sensation in the upper esophagus, is the most common symptom of reflux esophagitis and GERD. Also, typical symptoms include:

  • Taste of food eaten some time ago, appearing after belching
  • A small amount of half-digested gastric contents in the mouth, which occurs without prior nausea during different movements (may not be noticed in some cases)
  • Taste or streaks of blood in saliva (erosive inflammation of the esophagus is often accompanied by bleeding)

Causes

The main cause of reflux disease is the dysfunction of the sphincter, the muscle valve that separates the esophagus from the stomach. Sphincter disorders can be caused by:

  • Improper diet (including the habit of eating lying down, frequent alcohol consumption, smoking, carbonated drinks consumption, or other factors that irritate the mucous membranes of the upper gastrointestinal tract)
  • Inflammatory and ulcerative diseases of the stomach and/or duodenum
  • Individual anatomical features of patients
  • Hernia
  • Pylorospasm (pyloric sphincter dysfunction that is located between the stomach and duodenum)
  • Cholecystitis
  • Taking certain medications (anticholinergic, antihistamines, etc.)
  • Postoperative syndrome, as a result of surgical treatment of the gastrointestinal tract

Diagnostics

To assess the severity and causes of the reflux disease development, it is necessary to answer several questions:

  1. Is there pathological gastroesophageal reflux?
  2. Are there any changes in the esophageal mucosa?
  3. Are there any disorders of esophageal motility?

Changes in the esophageal mucosa and their degree can be easily assessed using the endoscopic examination. Besides, it allows doctors to reveal a hiatal hernia, determine the acidity of gastric contents, and perform a targeted biopsy.

It is possible to evaluate the motility of the esophagus, confirm the hiatal hernia, assess the tone of the cardia, the condition of the fornix of the stomach, and the length of the abdominal segment of the esophagus, and determine the degree of reflux using X-ray examination.

When examining patients with chronic esophagitis, two issues are fundamental. The first is the exclusion of pathology of the heart, that is often accompanied by chest pain. The second is the disease known as Barrett's esophagus. Clinically, it manifests itself with symptoms similar to reflux esophagitis. But at the same time, the disease is much more serious, since Barrett's esophagus is considered a precancerous condition.

The instrumental examination methods, which are usually used when esophagitis or gastroduodenitis is suspected, include:

  • Esophagogastroduodenoscopy
  • Manometry of the esophagus

The diagnostic departments of hospitals in Germany allow for a full examination to be performed.

Treatment

Unfortunately, conservative treatment of the reflux esophagitis and medications that reduce acid release are not effective in all cases.

In hospitals in Germany, the treatment of reflux disease is successfully carried out with an operative laparoscopic method, which is certainly the least traumatic for the patient.

Due to the constant improvement of the technique of laparoscopic treatment of reflux esophagitis in hospitals in Germany, the number of relapses has decreased significantly.

The use of modern laparoscopic technology in Germany with an enlarged image projected onto a monitor allows achieving the most accurate visualization of all the thinnest anatomical structures in the operation area. With the help of a laparoscope, it is also possible to take tissue samples for biopsy.

Thanks to the use of the most modern systems and the latest techniques in hospitals in Germany, the symptoms of reflux esophagitis can be eliminated quickly and with minimal side effects.

Hospitals in Germany have recently opened up new possibilities for the treatment of patients with reflux disease. This is the LINX reflux management system.

The therapy with the LINX reflux management device has been specifically developed to treat reflux disease. The LINX reflux management system does not require any anatomical changes in the stomach, unlike traditional surgery techniques used for reflux disease.

The LINX reflux management device is a small flexible ring of interconnected titanium balls with magnetic cores. The magnetic attraction between the balls helps the lower esophageal sphincter resist intragastric pressure without opening up and preventing reflux from the stomach into the esophagus. The LINX reflux management device is designed in such a way that the forces that expand the lower esophageal sphincter temporarily exceed the magnetism, allowing food and liquid to pass normally into the stomach. The magnetic attraction between the balls is designed to close the sphincter immediately after swallowing, restoring the body's natural barrier to gastroesophageal reflux.

As a rule, the abdominal wall is not fully opened during the intervention, so a minimally invasive approach is used with the LINX reflux management device.The procedure is performed under general anesthesia so that the patient does not feel any pain. The surgery usually takes about an hour.

The LINX reflux management device is positioned around the esophagus just above the stomach. The LINX insertion surgery is performed laparoscopically, through small holes in the patient's body.

The LINX reflux management device is a small, flexible, ribbed chain that is secured around the gastric part of esophagus. Therefore, it does not require anatomical changes in the stomach. During the surgery, patients are under general anesthesia. Most patients go home and return to their usual diet in about a day after surgery for the LINX reflux management device installation.

The LINX reflux management device quickly relieves the symptoms of reflux disease. During a small laparoscopic operation ("keyhole technology"), the lower esophageal sphincter muscle is strengthened, quickly, and easily restoring its barrier function. The system can significantly improve the quality of life of patients.

With the LINX reflux management device, reflux symptoms can be quickly and easily treated, making life much easier for patients by relieving epigastric discomfort. Using a minimally invasive surgery, the lower esophageal sphincter muscle is strengthened, leading to complete restoration of the impaired barrier function.

This surgery is usually possible in almost all patients with reflux and associated symptoms. Doctors in Germany conduct thorough diagnostics for each patient to know exactly if the LINX reflux management system is suitable for him.

Typically, patients can resume their normal lifestyle in a week, and consume the foods that they like. Side effects are usually minimal and disappear over time.

Where can I undergo reflux esophagitis treatment in Germany?

Health tourism is becoming more and more popular these days, as a treatment in Germany, for example, often ensures a much better quality of reflux esophagitis treatment.

The following hospitals demonstrate the best success rates in reflux esophagitis treatment with the LINX system in Germany:

  1. Academic Hospital Regio Pinneberg
  2. Academic Hospital Brothers of Mercy Munich
  3. University Hospital of Ludwig Maximilian University of Munich
  4. Charite University Hospital Berlin
  5. University Hospital Ulm
  6. University Hospital RWTH Aachen

You can find more information about the hospitals in Germany on the Booking Health website.

The cost of treatment in Germany

The prices in hospitals listed on the Booking Health website are relatively low. With Booking Health, you can undergo reflux esophagitis treatment in Germany at an affordable price.

The cost of treatment in Germany varies, as the price depends on the hospital, specifics of the disease, and the complexity of its treatment.

The cost of treatment with the LINX reflux management system in Germany is in the range of 23,250-50,924 EUR.

You also need to consider the cost of possible additional procedures and follow-up care. Therefore, the ultimate cost of treatment in Germany may differ from the initial price.

To make sure that the overall cost of treatment in Germany is suitable for you, contact us by leaving the request on the Booking Health website.

How can I undergo reflux esophagitis treatment in Germany?

It is not easy to self-organize any treatment abroad. It requires certain knowledge and expertise. Thus, it is safer, easier, and less stressful to shift some responsibility onto a medical tourism agency.

As the largest and most transparent medical tourism agency in the world, Booking Health has up-to-date information about reflux esophagitis treatment in the best hospitals in Germany. Therefore, we will help you select the right clinic taking into account your wishes for treatment.

We want to help you and take on all the troubles. You can be free of unnecessary stress, while Booking Health takes care of all organizational issues regarding the treatment. Our services are aimed at you safely and successfully undergoing reflux esophagitis treatment.

Medical tourism can be easy! All you need to do is to leave a request on the Booking Health website, and our manager will contact you shortly.




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