Gastro esophageal reflux disease (GERD) with its resultant symptoms of heart burn is a common disorder. Motility abnormalities of the esophagus and stomach including an incompetent lower esophageal sphincter are responsible for the pathological reflux in the majority of patients. Initial therapy should be medical and change of lifestyle.
Surgery is reserved for those patients with failed prolonged drug therapy or those who have developed reflux complications. Surgical treatment offers the only chance of long-term cure. With surgical correction of the underlying anatomic and functional defect, the long-term success can be achieved in over 95% of patients.
A 28-year-old average build male was presented to us with severe symptoms of GERD not responding to medical management. He had a significant disturbance in his lifestyle and his work suffered. He was investigated and was offered LAPAROSCOPIC NISSEN FUNDOPLICATION.
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