Abstract
Gastroesophageal reflux disease (GERD) is a condition that develops when the reflux of stomach contents causes troublesome symptoms and/or complications. Due to the wide range of presentation in GERD patients with esophageal and/or extraesophageal syndromes that are common symptoms but often overlapping those of other upper gastrointestinal and cardiopulmonary disorders, a systematic approach to the preoperative workup of these patients must be undertaken to identify objective evidence of esophageal reflux prior to surgery. The workup should include upper endoscopy, barium esophagram, manometry and pH study with very few exceptions. Only after successful objective identification of pathologic acid exposure should surgery be pursued for select patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wayman J, Myers JC, Jamieson GG. Preoperative gastric emptying and patterns of reflux as predictors of outcome after laparoscopic fundoplication. Br J Surg. 2007;94:592–8.
Mikami DJ, Murayama KM. Physiology and Pathogenesis of Gastroesophageal Reflux Disease. Surg Clin N Am. 2015:515–25.
Vakil N, van Zanten SV, Kahrilas P, et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101:1900–20.
El-Serag HB, Sweet S, Winchester CC, Dent J. Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut. 2014;63(6):871–80.
Jobe BA, Richter JE, Hoppo T, et al. Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the esophageal diagnostic advisory panel. J Am Coll Surg. 2013;217(4):586–97.
Richter JE, Pandolfino JE, Vela MF, et al. Utilization of wireless pH monitoring technologies: a summary of the proceedings from the Esophageal Diagnostic Working Group. Dis Esophagus. 2012;26:755–65.
Stefanidis D, Hope WW, Kohn GP, et al. Guidelines for surgical treatment of gastroesophageal reflux disease. Surg Endosc. 2010;24:2647–69.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 SAGES
About this chapter
Cite this chapter
Cha, A., Gershuni, V.M. (2019). Preoperative Workup of GERD. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-96122-4_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-96121-7
Online ISBN: 978-3-319-96122-4
eBook Packages: MedicineMedicine (R0)