Patient with Chest Pain

Mickle Center Doctors Are Highly Experienced in Treating Gastroesophageal Reflux Disease

Dr. Sharona Ross of the Digestive Health Institute’s Mickle Center for Reflux and Esophageal Disorders has a wealth of experience in treating patients with severe cases of gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux. They offer minimally invasive surgeries that cure reflux for a large majority of their patients. After their surgeries, most of these patients no longer need to take anti-acid medications.

Medical Treatment for GERD

Before you can be considered for GERD surgery, you will need to be treated with medicine. Several of DHI gastroenterologists are experts in helping patients manage their GERD through medicine and lifestyle habits such as making diet changes, losing weight and quitting smoking. At first, your doctor might recommend over-the-counter antacids or prescription medications that stop acid production or help the muscles that empty the stomach. Antacids calm down, or neutralize, stomach acid.

Medications that are commonly used to reduce the amount of stomach acid the body makes are H2 blockers and proton pump inhibitors (PPIs). These medications work very well, but they should only be taken for a short time. Their long-term use can be harmful. H2 blockers and PPIs have been linked with osteoporosis (bone loss), kidney disease, dementia, heart problems and adverse drug interactions. They also produce effects that can eventually cause esophageal cancer.

Definitive Treatments for GERD

While medical treatment works for some patients, PPIs are not intended for use over long periods. In fact, FDA approval of PPIs is for using them only 6 weeks per year. Therefore patients who respond well to medical treatment, as well as those who do not, should be evaluated for definitive treatment of GERD. A definitive treatment is a more permanent approach that allows patients to stop taking PPIs. For many patients, definitive treatment is an operation that strengthens the valve between the esophagus and the stomach. Patients who cannot have surgery may benefit from endoscopic approaches to treating GERD. While these treatment options are more involved than taking medicine and making lifestyle changes, they can effectively control GERD and help patients avoid the risks associated with PPIs.

A person's hands holding equipment

Recover Faster With Minimally Invasive and Robotic Surgery

All the surgeons at the Digestive Health Institute (DHI) have a large depth of experience in offering minimally invasive surgery.

Meet The Experts

5 items. To interact with these items, press Control-Option-Shift-Right Arrow. These items are in a slider. To advance slider forward, press Shift-Command-Right Arrow. To advance slider backward, press Shift-Command-Left Arrow.
Dr. Sharona Ross.

Sharona Ross

MD, FACS

Advanced Foregut and HPB Surgeon

Sandra Freeman

Sandra G. Freeman

ARNP-C

Nurse Practitioner

Dana Manzi

Dana Manzi

MSN, ARNP-BC

Nurse Practitioner

Cory O'Brien

Cory O'Brien

MA, CCC-SLP, BCS-S

Speech Pathologist

Betsy Prator

Betsy Prator

MSN, ARNP-BC

Nurse Practitioner

A Doctor Speaks to a Patient in the Practice Lobby

Surgical Consultations For Digestive Cancer Without The Wait

Appointments Within Five Days for Patients with Cancer

At AdventHealth Digestive Institute, we know that after being diagnosed with cancer, patients want and often need to begin treatment quickly. So we make it a priority to offer appointments for cancer surgery consultations within five business days, and often earlier.

Patients who are newly diagnosed with cancer, or have just found out they have cancer again, qualify for this priority access. Our surgeons will make themselves available to see you right away, even for a second opinion. We want to help you start your treatment as soon as possible.

DHI News and Info

3 items. To interact with these items, press Control-Option-Shift-Right Arrow. These items are in a slider. To advance slider forward, press Shift-Command-Right Arrow. To advance slider backward, press Shift-Command-Left Arrow.
Two ladies talking while wearing masks
Blog

How to Respond When a Loved One is Hesitant About the COVID-19 Vaccine

Expert answers to some commonly asked questions and concerns about getting a coronavirus vaccine.

Dr. Sucandy in a team meeting
Blog

Digestive Institute Surgeon Gives Invited Talk, Multiple Presentations at International Laparoscopic Liver Society’s 3rd World Congress

To help promote minimally invasive surgery – which has many benefits for patients – and share their expertise, AdventHealth Digestive Institute (DI) surgeons such as Iswanto Sucandy, MD, FACS, advanced HPB (liver, pancreas and bile duct) surgeon, and Sharona Ross, MD, FACS, advanced HPB and foregut...

A pregnant woman looking at lab results in her doctor's office
Blog

Pregnancy and the COVID-19 Vaccine

Considering starting a family soon? Read more about the COVID-19 vaccine and pregnancy from our experts.