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Anti-Reflux Surgery I: Fundoplications

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Multidisciplinary Management of Gastroesophageal Reflux Disease

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Abstract

Surgical management of gastroesophageal reflux disease (GERD) has significantly increased since the inception of minimally invasive surgery. Compared to medical management with proton pump inhibitors, anti-reflux operations result in significantly less acid exposure and increased lower esophageal sphincter pressure. The fundoplication has been the most common anti-reflux operation performed for the management of refractory GERD and has evolved considerably over time. There are several types of fundoplication, each of which has its own advantages and disadvantages. This chapter is designed to provide an evidence-based overview of fundoplications, highlighting important differences between the different types, their benefits, outcomes, and complications.

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Author information

Authors and Affiliations

  1. Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA

    Marc A. Ward

  2. Department or Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA

    Marc A. Ward

  3. Texas A&M College of Medicine, Bryan, TX, USA

    Marc A. Ward

  4. Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, Portland, OR, USA

    Lee L. Swanstrom

  5. Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, France

    Lee L. Swanstrom

Authors
  1. Marc A. Ward
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  2. Lee L. Swanstrom
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Editor information

Editors and Affiliations

  1. Department of General Surgery, Medical University of Vienna, Vienna, Austria

    Sebastian F. Schoppmann

  2. Reflux & Health Care, Vienna, Austria

    Martin Riegler

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Ward, M.A., Swanstrom, L.L. (2021). Anti-Reflux Surgery I: Fundoplications. In: Schoppmann, S.F., Riegler, M. (eds) Multidisciplinary Management of Gastroesophageal Reflux Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-53751-7_7

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  • DOI: https://doi.org/10.1007/978-3-030-53751-7_7

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