title: Surgical treatment of GERD: where have we been and where are we going?
abstract: Surgical management of gastroesophageal reflux disease has evolved from relatively invasive procedures requiring open laparotomy or thoracotomy to minimally invasive laparoscopic techniques. Although side effects may still occur, with careful patient selection and good technique, the overall symptomatic control leads to satisfaction rates in the 90% range. Unfortunately, the next evolution to endoluminal techniques has not been as successful. Reliable devices are still awaited that consistently produce long-term symptomatic relief with correction of pathologic reflux. However, newer laparoscopically placed devices hold promise in achieving equivalent symptomatic relief with fewer side effects. Clinical trials are still forthcoming.
authors: Division of General Surgery, University of South Florida, One Tampa General Circle, Tampa, FL 33606, USA.
authors: David
authors: D
authors: Kim
authors: Division of General Surgery, University of South Florida, One Tampa General Circle, Tampa, FL 33606, USA. Electronic address: vvelanov@health.usf.edu.
authors: Vic
authors: V
authors: Velanovich
mesh_terms: D018662:Fundoplication / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D018579:Patient Selection; D016896:Treatment Outcome
keywords: Endoscopic antireflux surgery; Gastroesophageal reflux disease; Laparoscopic antireflux surgery; Open antireflux surgery