Gastroesophageal Reflux Dr. Pedro de María Pallarés
Specialist in gastroesophageal reflux with advanced techniques such as ARMA and minimally invasive treatments. Precise diagnosis and effective solutions for heartburn and regurgitation.
What is Gastroesophageal Reflux?
Gastroesophageal reflux (GERD) is a chronic condition in which stomach acid flows back into the esophagus due to malfunction of the lower esophageal sphincter. This situation causes irritation of the esophageal mucosa and characteristic symptoms.
As a digestive specialist, I have treated more than 700 cases of gastroesophageal reflux, using both conventional medical treatments and advanced endoscopic techniques such as POEM for complex cases.
Important Facts
- Affects 20% of the Western population
- More common after age 40
- Can cause serious complications
- Effective treatment available
Symptoms of Gastroesophageal Reflux
Recognize the signs that indicate you may be suffering from gastroesophageal reflux
Heartburn
Burning sensation in the chest, especially after eating
Regurgitation
Return of stomach acid content to the mouth
Chest Pain
Chest pain that can be confused with cardiac problems
Nocturnal Cough
Persistent dry cough, especially at night
Other frequent symptoms
Difficulty swallowing, morning hoarseness, bad breath, dental erosion, sensation of lump in throat, nausea and occasional vomiting.
Causes of Gastroesophageal Reflux
Hiatal Hernia
Protrusion of the stomach into the thorax through the diaphragm, weakening the natural anti-reflux mechanism.
Sphincter Relaxation
Weakening or inappropriate relaxation of the lower esophageal sphincter, allowing gastric acid reflux.
Dietary Factors
Spicy foods, citrus fruits, chocolate, coffee, alcohol, large meals and inadequate eating habits.
Other Risk Factors
- Obesity and overweight
- Pregnancy
- Smoking
- Certain medications
- Stress and anxiety
- Genetic predisposition
Diagnosis of Gastroesophageal Reflux
Gastroscopy
Direct visualization of the esophagus to detect inflammation, ulcers or changes in the esophageal mucosa.
pH Monitoring
24-hour esophageal pH measurement to quantify acid exposure of the esophagus.
Manometry
Evaluation of esophageal sphincter function and esophageal motility.
I perform these tests at
Hospital Fuensanta
Advanced endoscopy
Hospital San Rafael
Diagnostic techniques
Treatment of Gastroesophageal Reflux
Medical Treatment
Proton Pump Inhibitors
Omeprazole, lansoprazole, esomeprazole. Significantly reduce gastric acid production.
Prokinetics
Improve gastric emptying and strengthen the lower esophageal sphincter.
Antacids
Quick relief of specific symptoms, but do not treat the underlying cause.
Advanced Endoscopic Treatment
ARMA Technique
My specialty: Anti-reflux ablation with argon for complex cases of reflux that do not respond to Omeprazole and derivatives.
Specialized Reflux Consultation
Precise diagnosis and personalized treatment for gastroesophageal reflux
INMEQ Consultation
Instituto Médico Quirúrgico INMEQ
Calle Marcenado 49
28002 Madrid
Procedures at:
Hospital Fuensanta and Hospital San Rafael
Advanced endoscopy and POEM techniques
Private Consultation
Specialized reflux consultation
Includes complete evaluation and treatment plan
Reflux Patient Testimonial
"I suffered from severe reflux for years. Nighttime heartburn wouldn't let me sleep and I had tried multiple treatments without success. Dr. Pedro de María performed a complete evaluation and proposed a personalized treatment. After 3 months, my symptoms have completely disappeared. His professionalism and knowledge of advanced techniques made the difference."
Roberto M.
Patient treated for gastroesophageal reflux
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Frequently Asked Questions about Gastroesophageal Reflux
Can gastroesophageal reflux be definitively cured?
Yes, gastroesophageal reflux can be completely controlled and even cured with appropriate treatment. In my practice, we combine specific medication, dietary changes and, when necessary, advanced endoscopic techniques such as POEM to achieve a definitive solution.
How long does reflux treatment take to work?
Reflux symptoms usually improve in the first 2-4 weeks with proton pump inhibitors. For complete healing of esophagitis, 8-12 weeks of continued treatment may be needed.
What foods should I avoid if I have gastroesophageal reflux?
In cases of gastroesophageal reflux I recommend avoiding: citrus fruits, tomato, chocolate, coffee, alcohol, spicy foods, fried foods and fats. It's also important not to lie down immediately after eating and have smaller, more frequent meals.
When is surgery necessary for reflux?
Surgery for reflux is considered when medical treatment is not effective, there are complications such as Barrett's esophagus, or the patient is young and doesn't want lifelong medication. As a specialist in advanced endoscopic techniques, I offer minimally invasive alternatives before considering conventional surgery.
Can gastroesophageal reflux cause cancer?
Untreated chronic gastroesophageal reflux can lead to Barrett's esophagus, which does increase the risk of esophageal adenocarcinoma. That's why early diagnosis and proper follow-up are essential. In my practice we perform control endoscopies and apply advanced preventive techniques.
Gastroesophageal Reflux Specialist in Madrid
Don't let reflux affect your quality of life. Advanced techniques and personalized treatment.
INMEQ - Calle Marcenado 49, 28002 Madrid | TopDoctors 2024