Gastroesophageal reflux disease. Identification and management of the surgical patient.

Antireflux surgery remains the most reliable and expedient means of treating patients with a mechanically defective lower esophageal sphincter who are experiencing pathologic gastroesophageal reflux. Identifying these patients, who are known to have a poor response to medical therapy, permits control of the reflux process before serious complications develop. Well-planned and precisely performed antireflux surgery by an experienced medical team will enhance reflux control and reduce postoperative complications.