Fast Five Quiz: Gastroesophageal Reflux Disease Management

B.S. Anand, MD


February 12, 2021

The presence of histologically proven Barrett esophagus may call for surgical treatment because this condition can progress to esophageal cancer. In some cases, monitoring with periodic endoscopy may be appropriate.

Patients whose symptoms are well controlled with medication may nonetheless benefit from definitive surgical treatment.

The presence of cardiac conduction defects is an indication for fundoplication, as are the presence of postmenopausal osteoporosis; extraintestinal symptoms such as aspiration with chronic cough, otitis media, and erosion of dental enamel; and nonadherence to medication.

Younger age can be an indication for surgery. It is not a contraindication for surgery.

Learn more about surgery for patients with GERD.


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