Management of gastroesophageal reflux disease and hiatus hernia: Overview and authors' perspective

Hiatus hernia and GORD is a common problem, with many different approaches to treatment. Management has changed dramatically over the years as new and varied treatments have become available. The treatment differs between countries depending on the availability of the various therapies. Overall, medical therapy is undoubtedly the commonest form of treatment, with surgery being used as second line therapy or for intractable symptoms. This paper provides an overview of reflux disease and the available treatments, as well as describing the most common surgical techniques, providing the practitioner with guidance as to when surgery may be a viable option.

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