Gastroesophageal Reflux Disease

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Jeffrey Ponsky

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Topic overview

Two experienced general surgeons discuss the clinical evaluation and surgical management of gastroesophageal reflux disease. This educational dialogue covers diagnostic approaches, treatment options, and surgical decision-making for GERD patients.

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Key takeaways

  • GERD diagnosis requires correlation of symptoms with objective testing (pH monitoring, endoscopy) before surgical intervention
  • Fundoplication remains gold standard for refractory GERD, but patient selection and preoperative workup are critical for success
  • Medical management with PPIs should be optimized before considering surgical options in most patients

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