Gastroesophageal Reflux Disease

  • Isaac C. Payne
  • Andrew C. Berry
  • William O. RichardsEmail author


The prevalence of GERD is estimated to be between 10% and 20% in the Western world, with a higher predilection in developed countries. Obesity itself has been shown to be an independent risk factor for GERD, with an observed dose-response relationship between frequency of heartburn or regurgitation and higher BMI. A report of the US National Health and Education Survey (NHANES) found that approximately 66% of the US adult population is either overweight or obese, with this number on the rise annually. Roughly 5% of the total global health-care cost is allocated toward treating obese patients, as there is clearly a rising economic burden associated with obesity. The direct health-care costs associated with GERD in all patient populations are estimated to be around $9–$10 billion annually. Indirect costs such as decrease in work productivity, disability, and absent workdays should also be considered. Given the limited effectiveness of lifestyle modifications and medications, bariatric surgery has been shown to be the only modality with long-term sustained weight loss, reduction in morbidity, and improvement in all-cause mortality.


GERD Barrett’s esophagus Hiatal hernia Bariatric surgery 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Isaac C. Payne
    • 1
  • Andrew C. Berry
    • 2
  • William O. Richards
    • 1
    Email author
  1. 1.Department of SurgeryUniversity of South Alabama Medical CenterMobileUSA
  2. 2.Department of MedicineUniversity of South Alabama Medical CenterMobileUSA

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