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Surgical management of gastro-oesophageal reflux disease and hiatus hernia 

Surgical management of gastro-oesophageal reflux disease and hiatus hernia
Chapter:
Surgical management of gastro-oesophageal reflux disease and hiatus hernia
Author(s):

M. Asif Chaudry

, Sri G. Thrumurthy

, and Muntzer Mughal

DOI:
10.1093/med/9780199663200.003.0004
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date: 21 February 2020

This chapter begins by describing the aetiology and various subtypes of hiatus hernias. It then describes the general and specific considerations, and alternatives to, anti-reflux surgery, together with the latest evidence comparing it to best medical treatment of gastro-oesophageal reflux disease (e.g. LOTUS trial). The operative steps involved in hiatus hernia repair, Nissen fundoplication and Toupet fundoplication, Dor fundoplication, and Collis gastroplasty are described in detail, together with recent evidence comparing the various techniques. The non-surgical management of gastro-oesophageal reflux disease is also explained, together with the assessment and management of treatment failure, and its complications.

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