Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment drugs acid blockers antacids questions for doctor specialist surgery Home Care diet sore throat taking control vomiting warning signs Outlook Complications Underlying Cause Anatomy

Gastroesophageal Reflux Disease Surgery

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.

Continue to Gastroesophageal Reflux Disease Home Care

Last Updated: Jan 3, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Gastroesophageal Reflux Disease References
  1. Fraser A, Delaney B, Moayyedi P. Symptom-based outcome measures for dyspepsia and GERD trials: a systematic review. Am J Gastroenterol. 2005 Feb;100(2):442-52. [15667506]
  2. 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. [15456470]
  3. Tytgat GN. Review article: treatment of mild and severe cases of GERD. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:73-8. [12047264]
  4. Vakil N. Review article: cost-effectiveness of different GERD management strategies. Aliment Pharmacol Ther. 2002 Jul;16 Suppl 4:79-82. [12047265]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.