Surgical therapy for atypical symptoms of GERD: patient selection and preoperative evaluation.
Patients are selected for surgery for extraesophageal manifestations of gastroesophageal reflux disease (GERD) after medical therapy failure, medical noncompliance, or because of a desire to change from medical therapy. Preoperative assessment of patients with extraesophageal manifestations of GERD is tailored to the four types of symptoms: noncardiac chest pain, pulmonary, laryngeal, and oropharyngeal. Prior to surgery, all patients should undergo 24-hour pH testing and manometry. Indicators of a good response to surgery are an initial response to medication and positive 24-hour pH test results.
Floch
N R
NR
Norwalk Hospital, Connecticut 06850, USA.
D018662:Fundoplication; D005745:Gastric Acidity Determination; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D011379:Prognosis