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Current antireflux surgery

  • Published:
Current GERD Reports

Abstract

More than 50 years have passed since Rudolf Nissen astutely noticed the effects of his gastroplication on prevention of gastroesophageal reflux. Much progress has been made in understanding the pathophysiology, diagnosis, and treatment of gastroesophageal reflux disease (GERD). Antireflux surgery is an important component of the treatment options, applicable in 10% to 15% of patients with symptoms of GERD. Its application, however, is more complex than meets the eye. Considerable judgment in patient selection, careful preoperative evaluation, appropriate selection of the ideal procedure, and proper surgical technique are required to achieve a high degree of success. The data reviewed here show that when these factors are present, outcomes are reproducible and excellent. Recent clinical research focusing on the physiology of fundoplication, symptom control, patient satisfaction, and the postoperative quality of life have taught us much, as has the careful analysis of complications and surgical failures. We anticipate that advances in our understanding of GERD will continue to enable clinicians to treat this disease with increasing effectiveness and efficiency.

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Authors and Affiliations

  1. Department of Surgery, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box SURG, Rochester, NY, 14642, USA

    Jeffrey H. Peters

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  1. Boris Sepesi
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  2. Jeffrey H. Peters
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Correspondence to Jeffrey H. Peters.

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Sepesi, B., Peters, J.H. Current antireflux surgery. Curr GERD Rep 1, 233–240 (2007). https://doi.org/10.1007/s12171-007-0023-z

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  • DOI: https://doi.org/10.1007/s12171-007-0023-z

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