This condition is treated by:: (A) Surgery when medical treatment has failed, (B) Nissensfundoplication, (C) Medical treatment only, (D) None of the above
Answer is A. Ans. (a) Surgery when medical treatment has failed.Surgical correction aims at* Repairing the esophageal gastric junction below the diaphragm* Reduce the size of the esophageal hiatus* Produce an antiflux mechanismI. Operation done are- Nissen fundoplication- Hill procedure- Belsey mark IV operationII. Laparoscopic fundoplication is commonly used* Complications of GORD-I. Reflux induced stricturesII. Esophageal shorteningIII. Barrett's esophagus