Surgery is considered based on severity of disease, response to pharmaceutical treatment, risk of complications, and individual patient needs. The most frequent antireflux procedure performed is laparoscopic fundoplication, although surgery can also be done to correct hiatal hernias and other anatomical causes of GERD. Laparoscopic fundoplication places a gastric wrap around the gastroesophageal junction, strengthening the barrier function. Research has indicated that fundoplication relieves heartburn and typical symptoms in 93% of patients, yet only 56% of individuals had relief of their atypical symptoms.53 This procedure does not appear to replace the use of acid-blocking medication or decrease the incidence of carcinoma over standard medication therapy.54
Was this article helpful?