A surgical procedure trial compares efficacy of two reliable procedures to repair a hiatal hernia and put an end to heartburn and GERD symptoms


By Courtney Saenz, UTHealth Media Relations
June 23, 2023

Two years later, Mike Culp, left, no longer has disruptive GERD symptoms and is very happy with the results of his fundoplication procedure.

Two years later, Mike Culp, left, no longer has disruptive GERD symptoms and is very happy with the results of his fundoplication procedure. (Photo courtesy of Mike Culp)

For years, Mike Culp, 30, followed a highly restrictive diet and took medication to help manage his painful acid reflux symptoms that plagued his life and sleep. At age 18, he went to a specialist, who diagnosed him with gastroesophageal reflux disease (GERD). He was prescribed a proton-pump inhibitor (PPI), a medication that shuts off the acid-pumping cells in the stomach. His symptoms were temporarily managed, but he could not get rid of the burning, acidic-induced discomfort for long.

“It was killing me, and it wasn’t so much specific foods, but just everything across the board. Anything could set me off,” Culp said. “After eating or drinking, I would get bad heartburn and I needed to wait three or four hours before going to sleep. As a nurse, I work long shifts, so it is unreasonable for me to eat and wait hours before lying down.”

Culp rarely got a full night’s rest due to his intense symptoms, such as regurgitation and aspiration of stomach acid that entered his airway and lungs while he slept. He was later diagnosed with asthma and reactive airways disease, which occurs when the bronchial tubes that bring air into your lungs overreact to an irritant, like stomach acid. The tiny airway tubes can swell and cause breathing problems.

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