Gastroesophageal reflux disease (GERD) affects millions of people in western society. Since the introduction of laparoscopic techniques in the 1990s, it is now one of the most common indications for surgery. This text is designed to highlight the problem of failed medical and surgical anti-reflux therapy for Gastroesophageal Reflux Disease (GERD) and to provide an algorithm for managing such failures.

This multi-authored text provides information on the pathophysiology of GERD, appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures for GERD. Thousands of patients will experience inadequate relief from medical therapy or will develop complications from their procedures or recurrent or new symptoms afterwards; this text describes in detail the proper evaluation and management of such patients.

This text is essential to any physician who manages patients with GERD, including internists, gastroenterologists, general surgeons, and thoracic surgeons.

Definitive text on Gastroesophageal Reflux Disease (GERD), outlining pathophysiology and medical management

Inhalt
The Epidemiology and Pathophysiology of Gastroesophageal Reflux Disease.- History of Medical and Surgical Anti-Reflux Therapy.- Medical Management of GERD: Algorithms and Outcomes.- Complications of GERD: Esophagitis, Stricture, Barrett's, and Cancer.- Principles of Successful Surgical Anti-Reflux Procedures.- Acute Complications of Anti-Reflux Surgery.- Persistent Symptoms after Anti-Reflux Surgery and their Management.- Technical Surgical Failures: Presentation, Etiology and Evaluation.- Symptoms after Anti-Reflux Surgery: Everything Is Not always caused by Surgery.- The Medical and Endoscopic Management of Failed Surgical Anti-Reflux Procedures.- Reoperation for Failed Anti-Reflux Surgery.- Management of Alkaline Reflux.- Management of the Short Esophagus.- Esophagectomy: Indications, Techniques, and Outcomes.- Vagal Sparing Esophagectomy.- Future Directions of Therapy for GERD.