Last updated on September 16, 2021 at 15:25
For people being evaluated for surgical treatment of GERD, it’s important to determine that it is actually GERD which causes the patient’s complaints. Patients should undergo upper endoscopy, pH testing, and oesophageal manometry.
Surgery is indicated for GERD when standard medical therapy is insufficient to treat the patient’s symptoms. The most commonly performed surgical procedure for GERD is laparoscopic fundoplication, most often the Nissen fundoplication. In Nissen fundoplication, the gastric fundus is wrapped around the lower oesophagus and secured with stitches. This creates a “cuff” around the lower oesophageal sphincter, which prevents reflux.
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