Surgical management of non-acid reflux unresponsive to medical therapy

Alexander J. Greenstein, James P. Dolan, John G. Hunter

Research output: Chapter in Book/Report/Conference proceedingChapter


Gastroesophageal reflux disease (GERD), the most common upper gastrointestinal disorder in the United States, is typically treated medically. Referral for surgery has traditionally been reserved for those with complications of reflux, inability to tolerate medication or refractory symptoms despite medication. With the evolution of laparoscopic antireflux surgery (LARS) as a durable, safe and successful option, confidence in the procedure has increased and its popularity has risen to the point that it is considered a reasonable alternative to chronic medical therapy when performed by experienced surgeons.1,2 In order to maintain viability of this surgical option, good outcomes must be maintained, one aspect of which is appropriate patient selection.

Original languageEnglish (US)
Title of host publicationDifficult Decisions in Thoracic Surgery (Second Edition)
Subtitle of host publicationAn Evidence-Based Approach
PublisherSpringer London
Number of pages6
ISBN (Print)9781849963640
StatePublished - 2011

ASJC Scopus subject areas

  • General Medicine


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