Heartburn affects a lot of people, especially those with weight problems.  The first thing to do is get off some pounds.  But even then there are those who continue to have heartburn and require medications to treat the symptoms.  There is a new endoscopic procedure called esophyx that allows the physician to tighten the valve at the bottom of your esophagus.  This is done using an instrument placed down your mouth while you are asleep.  If you want to see what the procedure is like the company has a web site, www.endogastricsolutions.com ,that shows the procedure.  If you have any questions about the procedure just email me at davidswardmd1@gmail.com.