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Gastroesophageal reflux

J H Peters1, T R DeMeester

  • 1Department of Surgery, University of Southern California School of Medicine, Los Angeles.

The Surgical Clinics of North America
|December 1, 1993
PubMed
Summary
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Gastroesophageal reflux disease (GERD) often stems from esophageal motility issues. Surgical intervention provides the best long-term cure for GERD, with over 90% success rates when performed meticulously.

Area of Science:

  • Gastroenterology
  • Surgical Therapy

Background:

  • Gastroesophageal reflux (GER) constitutes approximately 75% of esophageal pathology.
  • Esophageal and gastric motility abnormalities, such as an incompetent lower esophageal sphincter, are primary causes of pathologic reflux.

Purpose of the Study:

  • To highlight the critical role and challenges of surgical treatment for gastroesophageal reflux.
  • To emphasize the factors contributing to successful long-term outcomes in anti-reflux surgery.

Main Methods:

  • Review of factors influencing surgical outcomes in anti-reflux procedures.
  • Emphasis on precise diagnosis, patient selection, and perioperative care.

Main Results:

  • Surgical treatment is presented as the sole option for a definitive cure of GER.

Related Experiment Videos

  • Meticulous surgical technique and patient management can ensure long-term success in over 90% of cases.

    • Conclusions:

    • Optimal surgical outcomes for esophageal conditions are achievable with careful planning and execution.
    • Successful anti-reflux surgery requires a multidisciplinary approach, from diagnosis to postoperative care.