Surgery for reflux esophagitis may be performed in patients who fail to respond to treatment with medication.
Surgical procedures for reflux esophagitis include:
- Laparoscopic fundoplication:
- Minimally invasive surgery: performed using laparoscopy
- This procedure tightens the lower esophageal sphincter, allowing this valve to keep stomach acid where it belongs.
- Over 90 percent of people having this procedure have satisfactory results.
- Endoscopic fundoplication:
- Involves using tiny stitches to tighten the lower esophagus.
- This operation may be performed from inside the esophagus using an endoscope.
- Endoscopic radiofrequency ablation:
- Also known as the Stretta procedure
- May be performed as outpatient surgery
- May be performed in as little as 45 minutes using conscious sedation
- Lower incidence of side effects as compared to other anti-reflux surgery.
- Uses a radiofrequency probe placed inside the esophagus by a procedure that is identical to upper GI endoscopy.
- Like a microwave, this device heats the tissues of the valve, causing them to scar and close tighter.
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- Kahrilas PJ. Review article: is stringent control of gastric pH useful and practical in GERD? Aliment Pharmacol Ther. 2004 Oct;20 Suppl 5:89-94. 
- Tytgat GN. Review article: treatment of mild and severe cases of GERD. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:73-8. 
- Vakil N. Review article: cost-effectiveness of different GERD management strategies. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:79-82.