Current Problems in Surgical Treatment Of Gastroesophagial Reflux Disease

Abstract

In the last decade restoration of lower esophageal sphincter function has become the choice of treatment rather than medical treatment that decrease acid secretion. The relative advantages of minimally invasive antireflux surgery to conventional surgery increase the role of surgery in treatment of gastroesophagial reflux disease. in this report the type of surgery (open vs laparoscopic), the type of fundoplication (complete vs partial), mobilization of the fundus and use of bougie are discussed.