Surgical Options

We are leaders in new technologies for gastrointestinal (GI) and ears, nose and throat (ENT) surgeries, including laparoscopic, endoscopic and robotic approaches:

LINX

In 2013, Stony Brook surgeons became the first on Long Island to be specially trained and certified to use the LINX® Reflux Management System. The new minimally invasive surgical procedure represents the latest advancement in the treatment of GERD. Surgeons implant the LINX band — a small, flexible band of titanium beads with magnetic cores — around the patient's esophagus just above the stomach. The magnetic attraction between the beads strengthens the weakened esophageal sphincter's barrier function.

Learn more about the LINX procedure:

MUSE

MUSE™ restores the function of the esophageal valve with just a few staples in less than an hour. It is a minimally invasive, incisionless version of a surgery known as fundoplication, which has been used to treat GERD for many years. Previously performed as an open or laparoscopic procedure, fundoplication wraps the top section of the stomach (the fundus) around the lower section of the esophagus. The goal is to prevent reflux or regurgitation of the stomach contents. With the MUSE system, this procedure can be done endoscopically, using one of the world’s smallest video cameras, ultrasound guidance, and a disposable endoscope. Its quick, safe approach enables patients who would otherwise not be optimal candidates for surgery to receive appropriate therapy.


Stretta

Stretta therapy delivers low-power, low-temperature radiofrequency energy to remodel the valve known as the lower esophageal sphincter (LES) at the junction of the esophagus and the stomach. Stretta reduces or eliminates regurgitation of stomach contents by improving muscle tone and reducing random openings of the LES that are known to cause GERD. Stretta treatment results in elimination or significant reductions of GERD symptoms and medication use, and significant improvement in patient quality of life.

Learn more about Stretta:

Hernia Repair

Hiatal hernia can be a factor in GERD – and it can be addressed surgically. Hiatal hernia occurs when the stomach moves from the abdomen, where it is supposed to be, up into the chest through an opening in the diaphragm – the boundary that separates the abdominal organs from the chest cavity. When this occurs, reflux of stomach acid into the esophagus is more likely.

Our team has extensive experience and expertise in all types of hernia repair: inguinal, incisional andventral, including a highly effective laparoscopic repair of hiatal hernia and reflux called Nissen fundoplication. This procedure is about 90 percent effective and the vast majority of patients no longer require long-term therapy with antacid medications. The surgery requires general anesthesia and a one-day stay in the hospital. [fact source: IFFGD and Cleveland Clinic]

Fundoplication

This traditional surgical approach to reflux disease is now done laparoscopically. In this procedure, your surgeon will free up the top part of your stomach and fold it on top of itself to create a valve. This uses your own tissue to limit reflux and regurgitation. 

Transoral Incisionless Fundoplication (TIF)

This innovative, outpatient procedure addresses the root cause of Gastroesophageal Reflex Disease (GERD). It offers a lasting solution without the side effects of reflux medications.

Stony Brook Medicine is the only hospital in Suffolk county, and one of only a few in the New York metropolitan region, to offer the TIF procedure. It repairs the lower esophageal sphincter to prevent stomach acid from refluxing up into the esophagus. Because this procedure is guided by an endoscope through the mouth, it does not require any surgical incisions.