For most individuals with gastroesophageal reflux, treatment with antisecretory medication yields excellent symptom relief. However, medical management fails in a subset of patients with more severe symptoms, and antireflux surgery should be considered. Traditionally the procedure of choice has been a 360° (Nissen) fundoplication. In most patients, this delivers a good long-term outcome, with effective reflux control and few side effects, and durability has now been confirmed at follow-up to 20 years. Unfortunately, a subset of approximately 10 to 15 percent are less than happy with their outcome following Nissen fundoplication, due to either recurrent reflux symptoms, or side effects such as dysphagia, bloating and flatulence.
|Type||The opinion magazine of the American Gastroenterological Association|
|Media of output||Online|
|Number of pages||6|
|Place of Publication||United States|
|Publication status||Published - 27 Feb 2019|
- GERD surgery
- gastroesophageal reflux