Medications that are commonly used for GERD reflux disease include various classes of antacid tablets and syrups. The role of surgery comes only when patients have severe reflux or those patients who either don’t respond to medical treatment or those who become medication dependent.
Today surgery of GERD is performed by laparoscopy only. Open surgery has become a thing of the past as it used to cause much discomfort to the patient. After laparoscopic surgery patients have a speedy, pain-free recovery and are usually sent home a day after surgery. The procedure that is performed for this disease is called a fundoplication. Patients are evaluated with an endoscopy, pH study of the food pipe and sometimes, a manometry (pressure study) of the food pipe before surgery.
There are various types of laparoscopic fundoplications which fall largely under the groups of complete and partial fundoplications. The most common type of fundoplication is a laparoscopic Nissen’s fundoplication which is a complete fundoplication.