Gastroesophageal Reflux Disease (GERD) & Swallowing

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Swedish Thoracic Surgery / First Hill

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This center takes a comprehensive approach to treating GERD and other conditions including achalasia, Barrett's esophagus, hiatal hernia, nutcracker esophagus and others. The center offers the leading treatments including anti-reflux surgery, diaphragmatic hernia repair, endoscopic Zenker's diverticulectomy, myotomy and esophageal stents.

Surgeries & Procedures

Anti-reflux surgery
Diaphragmatic hernia repair
Endoscopic mucosal resection
Endoscopic ultrasound (EUS)
Endoscopic Zenker's diverticulectomy
Esophagectomy (en bloc, vagal sparing, transhiatal, etc)
Hill repair
Laparoscopic hiatal hernia surgery
LINX Reflux Management System
Minimally invasive surgery
Nissen fundoplication
Re do surgery
Esophageal stents



Acid reflux
Dental erosion
Food sticks (dysphagia)
Throat clearing

Barrett's esophagus
Diverticulum (Zenkers, Epiphrenic)
Gastroesophageal reflux disease (GERD)
Hiatal hernia
Hypertensive lower esophageal sphincter  (LES)
Nutcracker esophagus
Paraesophageal hernia (stomach in chest)
Tracheo-esophageal fistula

Introduction to Esophogeal Surgery

In the videos below, Thoracic Surgeon, Dr. Ralph Aye explains esophageal surgery and what to expect.

Part I

Part II

LINX Reflux Management System

Learn about a new, simple surgical procedure to treat GERD.

LINX is the first new therapy for GERD in more than 25 years and was approved in March 2012 after 4 years of evaluation and testing by the FDA. The LINX device is a series of magnets in the form of a ring and is implanted around the bottom of the esophagus during a short, 40 minute laparoscopic procedure. The ring of magnets is designed to stay closed and prevent the reflux valve from opening, thereby preventing acid from the stomach to move up into the esophagus. However, the magnets will open up the ring when people are eating to let food in much like a person’s native reflux valve and also open to let people belch and if necessary, vomit—unlike other surgical treatments. LINX controls GERD in over 90% of patients and allows 80% of patients to stop their GERD medication and enjoy a regular diet.

Barrett's Esophagus

What are the problems with a Barrett's Esophagus surveillance only strategy?

Under the Barrett's study at Swedish, who are potential candidates for treatments?

What options exist to treat Barrett's Esophagus?

What should I expect before/during/after my Radiofrequency Ablation (RFA) procedure?

What are my options if my Barrett's Esophagus has turned into cancer?