Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 3: Ms. Jones Is A 45-Year-Old School Teacher Who Has Reflux Controlled On Bid Omeprazole. She Does Not Like To Take Medications And Would Like To Consider Fundoplication. Is This Reasonable Given Her Good Response To Ppi Therapy? (continued)

This 45-year-old patient asks about the possibility of a fundoplication (antireflux surgery). She does not wish to take antisecretory therapy long term; one of several reasons patients have surgery (Figure 3-1). We are told she has had a good response to proton pump inhibitor (PPI) therapy and that she has reflux. This is a reasonable time to consider antireflux surgery. In my practice, there are no absolute indications for surgery. I often stress to students, residents, and other colleagues that the best reason to perform antireflux surgery is in the patient who does not want to take…