1140722?1266356279
Elliot R Goodman, MD  
Male, 49
New York, NY

Specialties: Upper GI Pathology

Interests: Digestive Health, Weight Management
Beth Israel Medical Center
Surgery
212 844 8838
New York, NY
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New incision free surgery for acid reflux

Dec 16, 2009 - 22 comments
Tags:

esophyx

,

TIF

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incision free surgery

,

Acid reflux



Reflux disease, in addition to being a potential cause of esophageal cancer and other diseases of the esophagus and throat, is painful and unpredictable. Heartburn and searing pain that seems to be rising in the chest can be definite signs of Gastro Esophageal Reflux Disease or GERD. Surgeries are available so that you needn't rely on medication but are generally quite invasive. EsophyX, a new incisionless procedure to prevent pain from acid reflux, is puts all these fears to rest. When performed by Dr. Elliot Goodman, an expert in gastric disorders and bariatric surgery at Beth Israel Medical Center in Manhattan, NYC, GERD from a failed gastroesophageal (GE) valve can be reduced or stopped altogether.

EsophyX is an incisionless procedure that recreates a functional GE valve. An endoscope is run down the esophagus where suction pulls a flap of tissue down in order to guard the esophageal opening from the harmful effects of stomach acid. Fasteners keep the tissue permanently in place where it will eventually fuse to function naturally. At the end of recovery, a protective barrier prevents acid reflux and the symptoms that go along with it.


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by maree1, Apr 08, 2010
is this operation the same as a fundoplycation?

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by Elliot R Goodman, MDBlank, Apr 14, 2010
Yes but with far fewer side effects
Interested?
Where do u live?
Dr Goodman

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by mmalave, May 04, 2010
Dr. Goodman, I had severed GERD, also it triggers my asthma.  I felt that my lungs are spasmatic and sore pain.  My doctor is Dr. Robert Weiss , who also work at Beth Israel in Manhattan , his office is located at 380 second ave in NY Is he aware of the type.  of  operation. I worked at BI and tried all type of meds.  and  don't seem to work. And I heard  from the show  The Doctors who had mentioned. This patient had big improvement.   I work a clerk in Bernstien and on leave of absence for this. If you can contact to my doctor.  It will help me . Thanks Madelyn Malave  

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by guest_2010, May 05, 2010
is esophyx reversible?

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by Elliot R Goodman, MDBlank, May 05, 2010
Potentially yes

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by driven88, May 17, 2010
  What do you mean potentially reversible  ?  I thought scar tissue grows over the fasteners  so they can not be removed . Can you please expand on reversible ? potentially yes ? Thank you :)

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by Elliot R Goodman, MDBlank, May 18, 2010
If the valve is made too tight, endoscopy and balloon dilatation can reverse that effect

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by justhelpingafriend, Jun 21, 2010
Is there anyone in Maryland that is proficient in this surgery? If so can you please recommend them to me.
just helping a friend!

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by Elliot R Goodman, MDBlank, Jun 21, 2010
go to gerdhelp.com to find a local doc
good luck

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by RW58, Jul 13, 2010
From RW from canada

Dr Elliot
I am sending you my note from British Columbia Canada. I have been greatly suffering  from acid reflux for 20 years or so now. I have had a fundoplication and hiatus hernia operation and when that didn't stop the acid I then had a very invasive surgery where the incision was made and my rib cage was separated on the left hand side of my back...very long recovery but the reflux came back again with a fury. Meds don't work and I am having a endoscopy this Friday July 16th. I am afraid of all the things that this acid is doing to my throat and lungs and everything in between. Do you think that a Esophyx would be of any help as I am getting more and more severe symptoms and it is making me a very sick lady.

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by Elliot R Goodman, MDBlank, Jul 18, 2010
Esophyx could definitely help you BUT I doubt it would be a covered benefit in BC
Do you know what your scope showed on Friday?
Dr Goodman

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by gale68, Jul 26, 2010
DR.Goodman-I have been on meds for yrs.for acid reflux an switched many times,meds quit working.I have got worse with theacid reflux,mouth burning an throat also down my chest burning an hurting to the stomache.could you help me to have the surgery to correct this problem. my life has been miserible for past 5 months of burning an hhurting.please help me gale from TN.931-863-8238 if you can help me please call me

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by gale68, Jul 26, 2010
DR.Goodman
I have been to ER many times an sent back home ,admitted 3 times an sent back home,I had ct done they were good ,had 2 scopes done an stomache red an irritated ,with gastritis an medicine doubled up an sent home an still hurting an burning an no relief.also had alot of blood work done an all is good.I need a DR.that would care enough to help me .I dont know who to turn to for help.Its so sad that people like me needs help an so many dont care.Im only 46 an so sick I cant even sleep thru the night.I cant hardly eat or drink.I dont eat fried foods or sweets,dont drink coffee or caffeinated drinks ,I quit smoking cause DR.told me to.And I still hurt.Its like putting hot pepper in mouth an chewwing on it day an night.an burning in mouth an top part of stomache.I need a good DR.that cares an is willing to fix this problem.gale

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by Elliot R Goodman, MDBlank, Jul 26, 2010
Call me tomorrow
7182133407
Dr Goodman

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by gale68, Jul 27, 2010
Dr.Goodman
I will try an call you,I have to let you know ,Im in desperate need to get this problem corrected,my health problem has affected my life dramatically.I cant understand why I hurt an burn in mouth an throat an top part of stomache hurts an DR. cant help me .gale

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by gale68, Jul 27, 2010
I thought I would get back on comp.an disguess about the acid reflux . a few friends an neighbor told me they have acid reflux an they take meds for it,but they dont burn or hurt like that.An they eat an drink moderately an they dont have to give up alot of food an drinks.I dont understand that at all .apparently they dont have it very bad.I have had to give up fried foods,carbonated pop, eat lightly,quit smoking an still burn an hurt .I have done alot of reading an exploring about this issue to find out more because this has overtaken me in misery an no relief.If i get to lay down an sleep for a couple hrs.Im blessed .I even searched thru on many web pages for help  of any kind .And couldnt find none.Its sad but true.Even looked up to find physicians an hospital that do charity for those in need.I couldnt find anything .It is so sad that people like me needs help but cant get it.I wish that in every state there was free volunteer help for people that had serious needs with there health.Where is the compassion an love for others at.I didnt realize that on some web pages there are alot of people having problemswith this.I do know people ive asked said they didnt have it bad like me.g.

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by DdotyZ4, Sep 20, 2010
Can this procedure be done with med size hital hernia? What about tBarrots? Is there a site with patient testimonals anywhere? Thanks I am 34 year old male who has had GERD for several years I take 40 mg of Aciphex every day and has worked well until last week I had chest pain had an Upper Endo and was told I have a Hetial hernia, also he took several biopsyes to test for Barrets. i am not impressed with this Doctor rushes right through his paitents and doesnt explain anything. I am very conserned about my health as I have 3 young boys 9,5,and 3 who relie on me. Since the Endo the pain comes and goes but I dont want to wait until its too late to do something...Thanks again. Doug

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by Jeff_G, Sep 21, 2010
Dr Goodman,
I am interested to know how many TIF's you have performed and to what degree of success? short and long term? Does the Esophyx procedure take time to go into effect for someone like me or is it pretty much immediate? (see below)

I suffer mainly from lower esophogeal pain at the LES juncture. Otherwise a healthy 56 year old engineer. I have pictures from my edoscopy that show an area of inflammation just above the LES. I have no heartburn but suffer from the daily distraction of pain and some nausea from time to time. (3 years now) I have tried Nexium and another med for months with absolutely no results.
Big question is "Have you had patients with similar problem as mine (no heartburn but refluxing) that were helped with TIF?
I'd be very interested to know the anwsers to these questions.
Thanks again for taking the time out of your busy schedule.
Jeff

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by roxysbabe17, Jun 27, 2011
HI Dr Goodman

I have just been reading about well you manage gerd.  I am having trouble getting any answers for my questions and i dont know if thats because no one feels qualified to answer my forums.  i contracted camplyobacter over a year and 8 months ago, i am taking omeprazole, antepsin, ranitidine, anti-spasms, cyciline for the sickness and tramadol for the pain.  I have also tried other tablets before all these but nothing is helping me.  I have a lovely specialist, he has done scopes, gall bladder scan, kidney scan, white blood cells with radiation and xrays.  He diagnosed me with gerd,ibs,gastritis,and 2mm heitaus hernia.  However, i havent eaten a meal since march, i just cant eat, food is an enemy to my tummy.  I look 9 months pregnant most days even though am not eating, am living on ice-cream, hot milk and water.  I am getting worse as the days go by, i am shattered all the time, i never ever feel hungry, am sweating like mad and am getting pain in my left groin, which comes and goes.  I was on vsl#3 supplement but it was making my tummy worse and producing more acid, now am not taking anything.  I just want to curl up and die am in so much pain, i feel light headed everyday and am loosing the will to life.  What should i be asking my specialist to do for me now??  Why cant i tolerate any food at all??  Will i ever get my life back??

I appreciate the time you take out to answer questions and am really hoping that you will be able to give me some advice as am at a lose as what to do now.

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by LindaSueBob, Jul 09, 2011
Was just advised in June 2011 to have this, went for a second opinion and surgeon said no, Ineed to have a Belsey Fundoplication because three I had in fifteen months all failed. What to do, what to do......... I can find no information on a Belsey however..................

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by Sweetsue55, Jul 16, 2011
Hello, I was told I had GERD and was instructed by the gastrologist to take 40 mg of nexium daily. I have been able to reduce to 20mg OTC Prilosec. I have tried to stop a daily dose but after one day even without eating the reflux returns. I have been taking this for 14 years. It seems that over the past 1 to 2 years I have a sick feeling like I want to throw up ona daily basis. It is sometimes difficult to swallow and after I eat I can experience a thrubbing in area where esophagus and stomach join. My thought feels thick also. Where should I go from here?  Thank You

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by jlo70, Jan 03, 2013
Hello, I have had acid reflux for the past 3months now and its getting worse. My throat is always filled with mucus and constant clearing my throat, but now am waking up in the middle of the night with a dry sensation at the back of my throat it, feels Like it's closing and I panic. It'd got to a point in my life  that I can't hardly eat much. I drink lots of water daily but that doesn't work and I've tried medication and also that doesn't work either. Am waiting for appointment to have a camera down my throat. Please can you hlp with some advice its really upsetting my life. Thanks. Jlo


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