The vast majority of people with GERD can control heartburn symptoms adequately without surgery. A few people, though, still have acid reflux symptoms even after treating them with medications, lifestyle, and diet changes. For these people, surgery helps.
PROCEDURES: GERD SURGERY
When to Consider Surgery for GERD
Heartburn that doesn't go away despite maximum non-surgical treatment is the most common reason to consider surgery for GERD. Other situations where surgery may be an option include:
• Severe inflammation of the esophagus, called esophagitis. • A narrowing, known as a stricture, of the esophagus that's not caused by cancer. • Barrett's esophagus, which is a change in the cells of the esophagus because of acid reflux.
All surgical procedures carry risk. So generally, GERD surgery should be considered only after other treatment has not worked and tests suggest there's a good chance surgery will succeed.
Most people, if not everyone, considering surgery for GERD will first undergo endoscopy. Many will also have tests to check the muscle function of the esophagus. These tests can include esophageal manometry and esophageal motility studies.
The main surgery performed for persistent heartburn is called fundoplication << Additional Resources: WebMD