Gastroesophageal reflux disease: Difference between revisions

Gastroesophageal reflux disease (view source)

700 bytes added , 9 November 2023

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 In most cases, medical therapy is necessary. The standard treatment is [[PPI|PPIs]]. Alternatives include [[H2 receptor antagonist|H2 receptor antagonists]], [[Antacid|antacids]], and surface agents like [[sucralfate]].
-For surgical treatment, refer to the corresponding surgery topic.
+=== Preoperative evaluation ===
+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]].
+=== Surgical treatment ===
+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.
 == Complications ==
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 * [[Barrett oesophagus]], [[Oesophageal cancer|oesophageal carcinoma]]
-[[Category:Gastroenterology]]
+<noinclude>‎[[Category:Gastroenterology]]</noinclude>