Review article: controversy in the therapy of gastro‐oesophageal reflux disease—long‐term proton pump inhibition or laparoscopic anti‐reflux surgery?

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Abstract
The treatment of gastro‐oesophageal reflux disease is controversial. Whilst medical treatment is successful in patients with mild to moderate disease, the threshold of severity above which an operation should be contemplated remains a matter for debate. Laparoscopic anti‐reflux surgery may be lowering this threshold, as this form of therapy provides several advantages over its open counterpart, but it is not without risk, and few long‐term results are available. This article reviews treatment options for reflux disease and examines the relative position of current medical and surgical therapies.
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