Laparoscopic Treatment of Gastroesophageal Reflux and Hiatal Hernia

  • Jeffrey H. Peters


Laparoscopic fundoplication is indicated for the treatment of objectively documented, relatively severe, gastroesophageal reflux disease. Care in patient selection and preoperative evaluation are essential for good results. Patients with gastroesophageal reflux and any of the following may be considered candidates for the procedure:
  1. a.

    Erosive esophagitis, stricture, and/or Barrett’s esophagus.

  2. b.

    Dependence upon proton pump inhibitors for relief of symptoms in the absence of documented mucosal injury (particularly those less than 50 years of age).

  3. c.

    Atypical or respiratory symptoms with a good response to medical treatment.

  4. d.

    Risk factors that predict a poor response to medical therapy (Table 16.1).



Gastroesophageal Reflux Disease Antireflux Surgery Laparoscopic Treatment Laparoscopic Fundoplication Short Gastric Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Jeffrey H. Peters

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