Journal of Gastrointestinal Surgery

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

GERD Procedures: When and What?

Evidence-Based Current Surgical Practice

Abstract

Background

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”).

Aims

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.

Keywords

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

Notes

Conflict of Interest

The authors have no conflicts of interest to declare.

References

  1. 1.
    Jobe BA, Richter JE, Hoppo T, et al. Preoperative diagnostic work-up before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 2013;217(4):586–97CrossRefPubMedGoogle Scholar
  2. 2.
    Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Tan S, DeMeester SR, Hagen JA, Bremner CG. Multivariate analysis of factors predicting outcome after laparoscopic Nissen fundoplication. J Gastrointest Surg 1999;3:292–300CrossRefPubMedGoogle Scholar
  3. 3.
    Galvani C, Fisichella PM, Gorodner MV, et al. Symptoms are a poor indicator of reflux status after fundoplication for gastroesophageal reflux disease: role of esophageal function tests. Arch Surg 2003;138:514–8CrossRefPubMedGoogle Scholar
  4. 4.
    Bello B, Zoccali M, Gullo R, et al. Gastroesophageal reflux disease and antireflux surgery—what is the proper preoperative work-up? J Gastrointest Surg. 2013;17:14–20CrossRefPubMedGoogle Scholar
  5. 5.
    Patti MG, Gasper WJ, Fisichella PM, Nipomnick I, Palazzo F. Gastroesophageal reflux disease and connective tissue disorders: pathophysiology and implications for treatment. J Gastrointest Surg. 2008 Nov;12(11):1900–6Google Scholar
  6. 6.
    Fisichella PM, Jalilvand A. The role of impaired esophageal and gastric motility in end-stage lung diseases and after lung transplantation. J Surg Res. 2014 Jan;186(1):201–6Google Scholar
  7. 7.
    Lord RV, Kaminski A, Oberg S, et al. Absence of gastroesophageal reflux disease in a majority of patients taking acid suppression medications after Nissen fundoplication. J Gastrointest Surg 2002;6:3–9CrossRefPubMedGoogle Scholar
  8. 8.
    Bais JE, Samsom M, Boudesteijn EA, van Rijk PP, Akkermans LM, Gooszen HG. Impact of delayed gastric emptying on the outcome of antireflux surgery. Ann Surg. 2001;234:139–46PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Wayman J, Myers JC, Jamieson GG. Preoperative gastric emptying and patterns of reflux as predictors of outcome after laparoscopic fundoplication. Br J Surg. May 2007;94:592–598Google Scholar
  10. 10.
    Viljakka M, Saali K, Koskinen M, et al. Antireflux surgery enhances gastric emptying. Arch Surg. 1999;134:18–21CrossRefPubMedGoogle Scholar
  11. 11.
    Pellegrini CA. Delayed gastric emptying in patients with abnormal gastroesophageal reflux. Ann Surg 2001; 234: 147–148PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Allaix ME, Herbella FA, Patti, MG. Gastroesophageal reflux disease. Preoperative evaluation. In: Fisichella PM, Soper NJ, Pellegrini CA, Patti MG, eds. The surgical treatment of benign esophageal disorders: the “Chicago approach”. London: Springer-Verlag; 2014: 39–48CrossRefGoogle Scholar
  13. 13.
    Allaix ME, Borraez BA, Patti MG. Gastroesophageal reflux disease: diagnostic evaluation. Fisichella PM, Allaix ME, Morino M, Patti MG, eds. Esophageal diseases: pathophysiology to treatment. London: Springer-Verlag; 2014 DOI 10.1007/978-3-319-04337Google Scholar
  14. 14.
    Davis CS, Baldea A, Johns JR, et al. The evolution and long-term results of laparoscopic antireflux surgery for the treatment of gastroesophageal reflux disease. JSLS. 2010;14(3):332–41PubMedCentralCrossRefPubMedGoogle Scholar
  15. 15.
    Horvath KD, Jobe BA, Herron DM, Swanstrom LL. Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg. 1999 Nov-Dec;3(6):583–91Google Scholar
  16. 16.
    Oleynikov D, Eubanks TR, Oelschlager BK, Pellegrini CA. Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis. Surg Endosc. 2002 Jun;16(6):909–13Google Scholar
  17. 17.
    Patti MG, Robinson T, Galvani C, et al. Total fundoplication is superior to partial fundoplication even when esophageal peristalsis is weak. J Am Coll Surg 2004;198:863–869.CrossRefPubMedGoogle Scholar
  18. 18.
    Allaix ME, Herbella FA, Patti MG. Minimally invasive treatment of GERD. In: Fisichella PM, Soper NJ, Pellegrini CA, Patti MG, eds. The surgical treatment of benign esophageal disorders: the “Chicago approach”. London: Springer-Verlag; 2014: 101–112CrossRefGoogle Scholar
  19. 19.
    Baigrie RJ, Cullis SN, Ndhluni AJ, Cariem A. Randomized double-blind trial of laparoscopic Nissen fundoplication versus anterior partial fundoplication. Br J Surg. 2005 Jul;92(7):819–23Google Scholar
  20. 20.
    Broeders JA, Broeders EA, Watson DI, Devitt PG, Holloway RH, Jamieson GG. Objective outcomes 14 years after laparoscopic anterior 180-degree partial versus Nissen fundoplication: results from a randomized trial. Ann Surg. 2013 Aug;258(2):233–9Google Scholar
  21. 21.
    Engström C, Cai W, Irvine T, Devitt PG, Thompson SK, Game PA, Bessell JR, Jamieson GG, Watson DI. Twenty years of experience with laparoscopic antireflux surgery. Br J Surg. 2012 Oct;99(10):1415–21.Google Scholar
  22. 22.
    Horgan S, Pohl D, Bogetti D, Eubanks T, Pellegrini C. Failed antireflux surgery: what have we learned from reoperations? Arch Surg. 1999 Aug;134(8):809–15Google Scholar
  23. 23.
    Herbella FA, Sweet MP, Tedesco P, Nipomnick I, Patti MG. Gastroesophageal reflux disease and obesity. Pathophysiology and implications for treatment. J Gastrointest Surg. 2007 Mar;11(3):286–90.Google Scholar
  24. 24.
    Pandolfino JE, El-Serag HB, Zhang Q, et al. Obesity: a challenge to esophagogastric junction integrity. Gastroenterology 2006 Mar;130(3):639–49.Google Scholar
  25. 25.
    Braghetto I, Korn O, Csendes A, et al. Laparoscopic treatment of obese patients with gastroesophageal reflux disease and Barrett’s esophagus: a prospective study. Obes Surg 2012 May;22(5):764–72.Google Scholar
  26. 26.
    Perez AR, Moncure AC, Rattner DW. Obesity adversely affects the outcome of antireflux operations. Surg Endosc 2001 Sep;15(9):986–9.Google Scholar
  27. 27.
    Fisichella PM. The puzzling argument of antireflux surgery in obese patients with GERD: can the excellent perioperative safety of antireflux surgery make up for better comprehensive long-term outcomes of bariatric surgery? Am J Surg. 10.1016/j.amjsurg.2014.03.001.Google Scholar
  28. 28.
    Dupree CE, Blair K, Steele SR, Martin MJ. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 2014 Apr 1;149(4):328–34Google Scholar

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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