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  • Heartburn and Reflux

    Gastroesophageal reflux disease (GERD) is a digestive disorder that occurs when a weak muscle in the tube (esophagus) connecting your mouth and your stomach doesn't close properly, allowing stomach acid to backflow and irritate the esophagus lining. Common symptoms of GERD include:

    • A burning sensation in your chest (heartburn)
    • Chest pain
    • Difficulty swallowing
    • Regurgitation of food or sour liquid
    • Sensation of a lump in your throat

    If you suffer from GERD, our team can help. Depending upon the severity of your condition, we offer treatment options that range from lifestyle changes, to medication, to the latest surgical procedures.

    Take the Are You at Risk for GERD quiz

    Diagnostics and Testing

  • Make an Appointment

    Rhinebeck Office:
    (845) 871-4275

    TTY/Accessibility:
    (800) 421-1220

In many cases, GERD can be diagnosed based on a physical examination and medical history. However, your doctor may recommend additional testing to confirm the diagnosis or determine the severity of your disease.

  • Upper endoscopy, during which a thin, flexible tube equipped with a light and camera (endoscope) is inserted down your throat to examine the inside of your esophagus and stomach, or collect a sample of tissue (biopsy) to be tested for complications such as Barrett's esophagus.
  • Ambulatory acid (pH) probe test, which uses a monitor placed in your esophagus to identify when, and for how long, your stomach regurgitates acid.
  • Esophageal manometry, which measures the rhythmic muscle contractions in your esophagus when you swallow. Esophageal manometry also measures the coordination and force exerted by the muscles of your esophagus.
  • X-ray of your upper digestive system, taken after you drink a chalky liquid that allows your doctor to see a silhouette of your esophagus, stomach and upper intestine.

Surgical Options

Linx-Illustration

GERD can usually be controlled with lifestyle changes or medication. However, if these approaches are unsuccessful, or you wish to avoid long-term medication use, the surgeons on the medical staff at Northern Dutchess Hospital offer the latest in surgical treatment options:

  • LINX® Reflux Management System. The most advanced of surgical options, the LINX implant is a small flexible band of linked titanium beads with magnetic centers. The magnetic attraction between the beads helps the esophageal muscle close properly, preventing reflux. The device is implanted using a minimally invasive approach and the entire procedure typically takes less than an hour. Most patients are able to return to a regular diet and normal activities almost immediately.
  • Fundoplication. During fundoplication surgery, the top of your stomach (the fundus) is wrapped around the esophagus and sewn into place. This tightens the muscle and prevents reflux. Fundoplication is usually done with a minimally invasive (laparoscopic) procedure. The wrapping of the top part of the stomach can be partial or complete.

Meet the Surgical Team

Brian Binetti

Brian Binetti, MD, FACS
Surgeon, Northern Dutchess Hospital
Watch Video

Educational Seminars

Get the Facts About Reflux seminars occur on the third Tuesday of every month at 5pm in the NDH Cafeteria Conference Room. To register, call (845) 871-3177.