The Latest, Most Advanced GERD Treatment Available

TIF (Transoral Incisionless Fundoplication)

The TIF procedure is an effective treatment for GERD that doesn’t involve cutting through the skin.

Robotic Fundoplication Surgery

The revolutionary da Vinci robotic system is one of the most significant advancements in surgery in decades.

Laparoscopic Fundoplication Surgery

This procedure uses special tools and a small camera known as a laparoscope to perform the surgery with very small incisions.

Open Fundoplication Surgery

Traditional fundoplication uses an open approach that involves a larger incision and the surgeon’s own hands to perform the procedure.

You’re in good hands 

Missoulians have trusted Missoula Surgical Associates for over 25 years. 

 Common Questions 

What’s the difference between heartburn and GERD?

Heartburn is a burning sensation in the chest just behind the breastbone. It’s a common problem that many effectively treat with over the counter medications. However, when heartburn occurs with more frequency, it can indicate that a more serious medical condition might be going on. Gastrointestinal Reflux or GERD is a chronic condition characterized by frequent bouts of heartburn. If left unchecked, complications of GERD can arise that may be severe and even permanent in some cases. 

GERD is a chronic digestive condition that occurs when stomach acid refluxes back into your esophagus. Because the esophagus does not have the same protective lining found in the stomach, the acid can irritate the esophageal lining and cause that familiar burning sensation known as heartburn. People who suffer heartburn more than twice a week or to the point that it interferes with daily, life may be diagnosed with GERD. 

WHAT ARE THE MOST COMMON SYMPTOMS OF GERD?

  • Burning sensation in the chest that may spread to the throat 
  • Sour or bitter taste in the mouth 
  • Feeling like there is a lump in your throat 
  • Difficulty swallowing 
  • Hoarseness or a chronic cough 
  • Chest pain, sometimes mistaken for a heart attack 

WHAT ARE THE COMMON TREATMENTS FOR GERD?

    Common treatments for GERD include medication to reduce stomach acid and heal the esophagus. If medication doesn’t work, or if a patient has concerns about the length of time they’ll be on medication, surgery may be recommended to stop the damage to the esophagus and prevent further complications from arising. 

    Why have GERD surgery?

    Surgery for GERD is typically recommended when other treatment options have not been effective. The standard surgical procedure for this condition is called Nissen Fundoplication. This procedure wraps the top of the stomach around the lower esophagus and reinforces the lower esophageal sphincter (LES). By tightening the LES, acid is no longer able to back up from the stomach into the esophagus. This provides relief from painful heartburn symptoms and prevents future damage to the esophagus. 

    How do I get started?

    Because most insurance companies require a referral, the first step is to talk with your physician and run some tests. With test results and a referral from your doctor, we can walk you through your options and help you decide on the treatment that’s best for you.

    To us, you’re family

    We know what it’s like. So from the moment you walk in the door, our entire team treats you like we would our own.

    “They are compassionate, caring and willing to listen to even the smallest concern…everyone I came in contact with at Missoula Surgical Associates actually took the time to treat me like a human and not a number being punched into a computer.”

    – Anonymous

    “Dr. Maki was extremely courteous and made me feel like he had a very high level of knowledge and immediately had a plan. Dr. Maki seems great and it is easy to trust someone who explains medical issues in such an easy way to understand. Thanks Doc!”

    -Anonymous

    “It was more than obvious that they all take great pride in their work. They greeted me with a smile and made sure every concern was addressed before checkout. I would absolutely recommend Missoula Surgical, and I already have!”

    – Alexander