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Surgical management of gastroesophageal reflux in adults

Steven D Schwaitzberg, MD
Section Editors
Joseph S Friedberg, MD
Nicholas J Talley, MD, PhD
Deputy Editor
Wenliang Chen, MD, PhD


Surgical management is generally reserved for patients with complications of reflux such as recurrent or refractory esophagitis, stricture, Barrett's metaplasia, persistent "reflux symptoms" despite acid suppression, or asthma. Patients who are unable to tolerate medication, noncompliant with medication, or who are medication dependent and unwilling to take lifelong medications are also surgical candidates.

The surgical management of patients with gastroesophageal reflux disease (GERD) is reviewed in this topic. The pathophysiology, diagnosis, medical management, and complications of gastroesophageal reflux are discussed elsewhere. (See "Pathophysiology of reflux esophagitis" and "Medical management of gastroesophageal reflux disease in adults" and "Complications of gastroesophageal reflux in adults" and "Overview of gastrointestinal motility testing", section on 'Esophagus'.)


There are several indications for surgery in the patient with GERD:

Gastrointestinal indications

Failed optimal medical management

Noncompliance with medical therapy


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Literature review current through: Sep 2016. | This topic last updated: Aug 8, 2016.
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