title: [The Mexican consensus on gastroesophageal reflux disease. Part II].
abstract: OBJECTIVE
  To update the themes of endoscopic and surgical treatment of Gastroesophageal Reflux Disease (GERD) from the Mexican Consensus published in 2002.
  
  
  METHODS
  Part I of the 2011 Consensus dealt with the general concepts, diagnosis, and medical treatment of this disease. Part II covers the topics of the endoscopic and surgical treatment of GERD. In this second part, an expert in endoscopy and an expert in GERD surgery, along with the three general coordinators of the consensus, carried out an extensive bibliographic review using the Embase, Cochrane, and Medline databases. Statements referring to the main aspects of endoscopic and surgical treatment of this disease were elaborated and submitted to specialists for their consideration and vote, utilizing the modified Delphi method. The statements were accepted into the consensus if the level of agreement was 67% or higher.
  
  
  RESULTS
  Twenty-five statements corresponding to the endoscopic and surgical treatment of GERD resulted from the voting process, and they are presented herein as Part II of the consensus. The majority of the statements had an average level of agreement approaching 90%.
  
  
  CONCLUSIONS
  Currently, endoscopic treatment of GERD should not be regarded as an option, given that the clinical results at 3 and 5 years have not demonstrated durability or sustained symptom remission. The surgical indications for GERD are well established; only those patients meeting the full criteria should be candidates and their surgery should be performed by experts.
authors.affiliation: Encargado del Servicio de Endoscopia, Hospital Ángeles Torreón, Coahuila, México. Electronic address: fhuertaiga@prodigy.net.mx.
authors.forename: F
authors.initials: F
authors.lastname: Huerta-Iga
authors.affiliation: Jefe de Gastroenterología, Hospital Civil de Culiacán, Sinaloa, México.
authors.forename: J L
authors.initials: JL
authors.lastname: Tamayo-de la Cuesta
authors.affiliation: Departamento de Enseñanza, Hospital Español de México, México D.F., México.
authors.forename: A
authors.initials: A
authors.lastname: Noble-Lugo
authors.affiliation: Jefe del Servicio de Endoscopia, Instituto Nacional de Cancerología, México D.F., México.
authors.forename: A
authors.initials: A
authors.lastname: Hernández-Guerrero
authors.affiliation: Servicio de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México D.F., México.
authors.forename: G
authors.initials: G
authors.lastname: Torres-Villalobos
authors.affiliation: Director Médico, Hospital Español de Veracruz, Veracruz, México.
authors.forename: A
authors.initials: A
authors.lastname: Ramos-de la Medina
authors.affiliation: Cirugía del Aparato Digestivo, Hospital Ángeles del Pedregal, México D.F., México.
authors.forename: J P
authors.initials: JP
authors.lastname: Pantoja-Millán
mesh_terms: D000328:Adult; D002648:Child; D003625:Data Collection; D013505:Digestive System Surgical Procedures; D004724:Endoscopy; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008365:Manometry; D008800:Mexico / Q000453:epidemiology; D016896:Treatment Outcome
keywords: Antireflux surgery; Cirugía antirreflujo; Endoscopic treatment; Enfermedad por reflujo gastroesofágico; Gastroesophagic reflux disease; Surgical treatment; Tratamiento endoscópico; Tratamiento quirúrgico