Gastroesophageal reflux disease surgery

Gastroesophageal reflux disease Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

• Surgery is not the first line of treatment of GERD. However, it can be as effective as the medical treatment in some cases of GERD.
• Surgery is very effective in cases who present with typical symptoms of GERD which are heart burn and regurgitation and patients who have ambulatory pH studies with good symptom correlation.
• Surgery is recommended for treatment of GERD in the following cases:
  • Chronic GERD cases
  • Patients who do not desire to continue the medical therapy
  • Non-compliant medical therapy
  • Side effects associated with the medical treatment
  • The presence of large hiatal hernia
  • Complications associated with GERD like esophagitis