The outcome of laparoscopic fundoplication for reflux disease in communlity practice in the USA

Endoscopic treatment of gastroesophageal reflux disease—fact or fancy?

“…Finally, when all the issues are considered, there is no definitive evidence that surgery is more cost-effective than drug therapy. The real cost of surgery is largely related to postoperative morbidity, which remains relatively high, especially when laparoscopic procedures are performed in the community and not in expert centers [7].…”