FV Hospital
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Gastroenterology & Hepatology

Gastro-oesophageal Reflux Disease (GORD)

Expert Care for Swallowing, Heartburn and Oesophageal Diseases

GORD occurs when there is stomach acid that flows back into the oesophagus (tube from your mouth to your stomach) and causes pain or an acid taste in the back your throat.

Diagnostic

GORD is diagnosed through patient history, endoscopy, and specialised tests when required:

An upper endoscopy uses a tiny camera on the end of a flexible tube to visually examine the upper digestive system. The camera helps provide a view of the inside of the oesophagus and stomach.

The gold standard for diagnosing GORD, by tracking acid levels in your oesophagus over a full day.

  • A thin, noodle-like, flexible catheter (tube) inserted into your nose, and guided into the opening of your stomach. 
  • The catheter can pick up changes in acidity along its entire length. The catheter conveys information about your acid reflux activity to a computer about the size of a smartphone that you wear on a belt.
  • The tube stays in place for 24 hours while you eat, drink, sleep and go about your normal activities. The doctor can capture information about acid levels and other activities of your oesophagus throughout an entire day.
  • The probe is removed the following day at the clinic, and data is analysed.

Your doctor will use the data to make a diagnosis and plan your treatment

This test measures how well the muscles in your oesophagus is working. It checks whether they squeeze and relax properly when you swallow. It helps explain symptoms like difficulty swallowing or reflux that does not improve with medication.

All of these tests have one shared purpose: find problems early, understand them clearly, and treat them with the least disruption to your life.

Treatment

Your doctor is likely to recommend trying lifestyle and dietary changes including weight loss, eating smaller meals, avoiding trigger foods (caffeine, alcohol, mint, fatty/spicy foods), quitting smoking, and not eating 2-3 hours before bed. Elevating the head of the bed by 6-8 inches also reduces night-time symptoms.

Medications such as Proton-Pump Inhibitors (omeprazole, esomeprazole) aim to reduce stomach acid to alleviate symptoms and heal the oesophagus.

If symptoms did not improve with lifestyle changes and drug therapy, you may be a candidate for surgery (Nissen fundoplication), however FV Hospital also offers alternatives, minimally invasive approach, the “dual solution” and specialised endoscopic techniques:

FV pioneers the combination of Cardiac ligation (endoscopic band ligation) and Argon Plasma Coagulation (APC). This is a 2-step combined minimally-invasive approach to maximize efficiency:

  • Tightening: The cardiac sphincter is tightened to stop reflux
  • Ablation: APC is applied to eliminate abnormal cells (metaplasia)

This minimally invasive, highly effective treatment:

  • Relieves chronic or drug-resistant reflux symptoms
  • Ensures fast, safe recovery without complications
  • Reasonable cost, and you can go home the same day

A Dual Approach to Preventing Acid Reflux-Related Oesophageal Cancer: Pyloric Tightening and Argon Plasma Coagulation

For patients with refractory gastro-oesophageal reflux disease (GORD) who do not respond to medication, our specialists can perform minimally invasive procedures such as:

  • ARMA (Anti-Reflux Mucosal Ablation)
  • ARMS (Anti-Reflux Mucosectomy)

These procedures reshape and tighten the gastro-oesophageal junction, restoring the natural barrier that prevents stomach acid from flowing back into the oesophagus.

Benefits

  • No surgical incision
  • Short procedure time
  • Rapid recovery
  • Same-day discharge
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