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Indications and Procedures for Surgical Therapy of GERD with Hiatal Hernia

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Hiatal Hernia Surgery

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Abstract

Gastroesophageal reflux disease is a common medical condition resulting from excessive exposure of the distal esophagus to gastric secretions. The most common clinical manifestations are heartburn and regurgitation, but patients can also experience extraesophageal symptoms involving the respiratory tract. pH monitoring, esophageal manometry, esophagogastroduodenoscopy and barium esophagram are the four key studies to establish a diagnosis of gastroesophageal reflux as well as evaluate anatomy and function. Gastroesophageal reflux disease is frequently associated with hiatal hernias due to displacement of the gastroesophageal junction and compromise of the lower esophageal sphincter. Surgical therapy should be utilized in patients with inadequate symptom and disease control despite maximal medical therapy. In this chapter, we describe the preoperative workup, surgical management, postoperative care and potential complications of patients undergoing laparoscopic antireflux surgery. With appropriate patient selection and operative experience, surgical therapy can provide an effective treatment for symptomatic gastroesophageal reflux disease.

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Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, UW Medical Center, University of Washington, 1959 NE Pacific St., Box 356410, Seattle, WA, 98195, USA

    Monica T. Young M.D. & Brant K. Oelschlager M.D.

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  1. Monica T. Young M.D.
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  2. Brant K. Oelschlager M.D.
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Correspondence to Brant K. Oelschlager M.D. .

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Editors and Affiliations

  1. Faculty of Health Sciences and Medicine, University of Southern Queensland Faculty of Health Sciences and Medicine, Toowoomba, Queensland, Australia

    Muhammed Ashraf Memon

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Young, M.T., Oelschlager, B.K. (2018). Indications and Procedures for Surgical Therapy of GERD with Hiatal Hernia. In: Memon, M. (eds) Hiatal Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64003-7_5

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  • DOI: https://doi.org/10.1007/978-3-319-64003-7_5

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