Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 5: A 55-Year-Old Man Is Referred For Evaluation For Antireflux Surgery. What Is The Appropriate Preoperative Evaluation Of This Patient? Is Esophageal Function Testing (Manometry) Needed? (continued)

When considering antireflux surgery in a patient with GERD, the key preoperative questions are these: 1. Has gastroesophageal reflux disease been accurately and effectively documented? 2. Has a proton pump inhibitor trial been done? If so, what were the results? In effect, the success of a proton pump inhibitor therapeutic trial remains one of the best preoperative evaluation tools in this gentleman. It is noted elsewhere in the book that a successful proton pump inhibitor trial is the key to predicting success for antireflux surgery. 3. Has a preoperative evaluation been performed? Has…