Gastroesophageal Reflux Disease
  Laparoscopic Antireflux Surgery
   
  “Heartburn is a common problem in the Western world. Approximately 7% of the population experience symptoms of heartburn daily. An abnormal esophageal exposure to gastric juice is probably present in 20-40% of this population, meaning this people have GERD.”
   
   
 
Surgical Procedures  >   Laparoscopic Antireflux Surgery  >   Indications & Contraindications    
 

Indications for surgery:

  • Objective evidence of GERD plus:
    • Complications of GERD not responding to medical therapy (e.g. esophagitis, stricture, recurrent aspiration or pneumonia, Barrett’s esophagus). Barrett’s esophagus is one of the most serious complications of GERD, since it may progress to cancer!
    • GERD symptoms interfering with lifestyle, despite medical therapy
    • Hiatal hernia with GERD
    • Need for continuous drug therapy in a patient desiring discontinuation of medications (e.g. financial burden, non-compliance, lifestyle choice, young age, etc.)
    • Presence of extraesophageal manifestations of GERD may indicate the need for surgery (eg, cough, wheezing, aspiration, hoarseness, sore throat, otitis media, etc.)

Contraindications

Absolute

  • Inability to tolerate general anaesthesia
  • High Bleeding Risk
Relative
  • Previous abdominal surgery close to the hiatal region
  • Severe obesity
  • Esophageal shortening


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