The Surgical Option in the Treatment of Gastroesophageal Reflux Disease: Rationale and Indications

Carlos A. Pellegrini, MD

In This Article


The last decade has witnessed a significant change in the role of surgery for the treatment of gastroesophageal reflux disease (GERD). Once relatively rare and reserved for patients who had failed every form of medical treatment, antireflux operations are now common and considered part of the regular armamentarium by those who treat this disease.[1,2,3,4] As we have now crossed the threshold into the new millennium, it is interesting to reflect on how and why this has happened and on the impact that this change in treatment strategy has had on the indications and outcomes of antireflux surgery.