Severe gastroesophageal reflux disease

Abstract
Medical and surgical choices for treating gastroesophageal reflux disease have never been better. In the last few years, potent medications have been introduced that suppress gastric acid production and have promotility effects, and laparoscopic approaches to antireflux surgery have been developed. In this article, Dr Marshall reviews current management techniques and explains how to decide which to recommend in a given patient with severe disease.