Fast Five Quiz: Gastroesophageal Reflux Disease Management

B.S. Anand, MD

Disclosures

February 12, 2021

Most rigorous research has concluded that laparoscopic surgical treatment is superior to medical management of GERD. About 92% of patients experience symptom resolution after this procedure, and the relief is typically long lasting. For example, research found that at 10 years after standard-of-care laparoscopic fundoplication, 90% of patients were symptom free, with few continuing to require PPIs.

The Allison crural repair and Boerema anterior gastropexy are no longer used due to high failure rates.

The Angelchik prosthesis, which consists of a silicone ring at the gastroesophageal junction, is also associated with unacceptably high complication rates and is seldom used in children.

The Nissen fundoplication is the most commonly-used surgical procedure for GERD, and is well studied in both children and adults. It consists of a 360° transabdominal fundoplication that approximates the anterior fundus and posterior fundus of the stomach to the esophagus.

Learn more about surgery for patients with GERD.

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