Refluxordination Univ. Doz. Dr. Martin Riegler

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Reflux & Heartburn Fast Track

martinriegler1.jpg„There is no reflux without failure of the anti reflux mechanism within the lower end of the esophagus, i.e. lower oesophageal sphincter; LES“.
 
Reflux develops, when the lower oesophageal sphincter (LES) fails. Reflux happens without and with enlarged hole of the diaphragm (hernia).
 
Causes: hereditary (weak connective tissue); unhealthy eating behaviour (sugar, alcohol); lifting of heavy weights; pregnancy; drugs (tranquillisers, cannabis) and nicotine. 
 
Effect: gastric acid fluid returns into the oesophagus, neck, throat, sinusoids, oral cavity and lungs. 
 
Consequences: Due to the reflux symptoms typically develop 20 - 60 min after a meal (heartburn,, gas bloat, fullness, cough, wheezing, asthma).
 
Diagnosis and therapy follows the Riegler Method and aims to eliminate those things, which impair your life quality and wellbeing:
  • the symptoms
  • cancer risk in those with Barrett’s oesophagus. 
Diagnosis identifies the cause (failure of the lower oesophageal sphincter; LES) and the manifestation of the reflux (inflammation, cancer risk, reflux qualities) and includes:
  • take of the patient history (45-60 min)
  • sedated gastroscopy (+biopsy sampling)
  • histopathology of the biopsies (novel US American Chandrasoma classification)
  • high resolution impedance manometry and  24 hr reflux monitoring (oesophageal function, qualities of the reflux).
Therapy corrects the failure of the lower oesophageal sphincter (LES) via
  • transient administration of medicine (acid neutraliser, proton pump inhibitor; PPI)= for max. 2-3 months.
  • nutrition & life style (Riegler Method)
  • reflux surgery (surgical hernia and sphincter repair; fundoplication; LINX; endostim)
  • reflux follow up.
This site informs you about straight forward diagnosis and therapy of reflux, abdominal pain and Barrett’s oesophagus (Riegler Method). 
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