2013-04-23 14:25:06 UTC

Minimal Access Surgery Compared with Medical Management for GERD

April 25, 2013

Publishing in the BMJ, A.M. Grant and colleagues confirm that laparoscopic fundoplication provides better long-term relief of chronic gastro-esophageal reflux disease (GERD) symptoms than medical management.

A.M. Grant and colleagues sought to determine the long term clinical effectiveness of laparoscopic fundoplication as an alternative to drug treatment for chronic gastro-esophageal reflux disease (GERD). They conducted a five-year follow-up of multicenter, pragmatic randomized trial (with parallel non-randomized preference groups). Reporting in the BMJ, the researchers conclude that after five years, laparoscopic fundoplication continued to provide better relief of GERD symptoms than medical management. Adverse effects of surgery were uncommon and generally observed soon after surgery. A small proportion had re-operations. There was no evidence of long term adverse symptoms caused by surgery. 

BMJ 2013; 346:f1908

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