Journal of Gastrointestinal Surgery

, Volume 18, Issue 11, pp 2047–2053 | Cite as

GERD Procedures: When and What?

Evidence-Based Current Surgical Practice



The topic of “when and what” for gastroesophageal reflux disease (GERD) procedures centers on the correct indications for antireflux surgery gleaned from a thorough preoperative evaluation (the “when”) and on the right antireflux operation to perform once the ideal candidate is identified (the “what”).


The goals of this evidence-based review are the following: (1) to identify the key indications for surgery and predictors of good outcomes in the initial evaluation of patients with symptoms of GERD; (2) to describe the operations for GERD in the armamentarium of the general surgeon and their indications, as well as the technical elements of the operation; and (3) to describe the optimal surgical treatment of GERD and obesity when the two diseases coexist.


Gastroesophageal reflux disease Esophageal manometry Ambulatory pH monitoring Partial fundoplication Total fundoplication Morbid obesity Roux-en-Y gastric bypass 


Conflict of Interest

The authors have no conflicts of interest to declare.


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Copyright information

© The Society for Surgery of the Alimentary Tract 2014

Authors and Affiliations

  1. 1.Department of Surgery, Boston VA Healthcare SystemHarvard Medical SchoolBostonUSA
  2. 2.Department of Surgery, Center for Esophageal DiseasesUniversity of Chicago Pritzker School of MedicineChicagoUSA

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