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World Journal of Surgery

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01-07-2017 | Surgical Symposium Contribution

Surgical Treatment of Gastroesophageal Reflux Disease

Authors: Francisco Schlottmann, Fernando A. Herbella, Marco E. Allaix, Fabrizio Rebecchi, Marco G. Patti

Published in: World Journal of Surgery | Issue 7/2017

Abstract

Background

Gastroesophageal reflux disease (GERD) affects an estimated 20% of the population in the USA, and its prevalence is increasing worldwide. Lifestyle modifications and proton pump inhibitors (PPI) therapy are effective in the majority of patients and remain the mainstay of treatment of GERD. However, some patients will need surgical intervention because they have partial control of symptoms, do not want to be on long-term medical treatment, or suffer complications related to PPI therapy.

Aims

The aim of this study was to review the available evidence that supports laparoscopic antireflux surgery, and to study the effect of surgical therapy on the natural history of GERD.

Results

The key elements for the success of antireflux surgery are proper patient selection, careful analysis of the indications for surgery, complete pre-operative work-up, and proper execution of the surgical technique.

Conclusions

When the key elements are respected, antireflux surgery is very effective in controlling GERD, and it is associated to minimal morbidity and mortality.

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Title: Surgical Treatment of Gastroesophageal Reflux Disease
Authors: Francisco Schlottmann
Fernando A. Herbella
Marco E. Allaix
Fabrizio Rebecchi
Marco G. Patti
Publication date: 01-07-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 7/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-3955-1

At a glance: The STEP trials

Springer Medicine

Surgical Treatment of Gastroesophageal Reflux Disease

Abstract

Background

Aims

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Aims

Results

Conclusions

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