Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal problems, with population-based studies estimating the prevalence in North America to be between 18.1% and 22.7% (El-Serag et al. Gut 63(6): 871–80, 2014). The heartburn a patient feels is related to multiple factors. Fluctuations in LES pressure is the most important factor in heartburn. The diagnosis, treatment, and follow-up of these patients are a significant burden to our health-care system. This is evident from the fact that proton-pump inhibitors are some of the costliest and commonly prescribed medications in the United States.
Laparoscopic antireflux surgery is an ideal treatment as it addresses the pathophysiology of the disease by reducing the hiatal hernia, decreasing the number of transient LES relaxations and increasing the LES pressure and often improving the effectiveness of peristalsis and esophageal clearance.
In this chapter, we discuss the use of laparoscopic partial fundoplication for the treatment of GERD.
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