Preoperative evaluation is essential to establish the diagnosis, severity of and to assess the oesophageal function in GERD. An appropriate testing also guides the surgeon to the best surgical procedure for the treatment of each individual’s GERD. This article describes preoperative evaluation criteria considered for GERD. Gastroesophageal reflux disease (GERD) is an inflammatory disease of the oesophagus that results in symptoms, injury to the oesophageal epithelium, or both.
It is one of the frequently encountered conditions by both gastroenterologists. GERD-related complications include erosive esophagitis, peptic stricture, Barrett’s oesophagus, oesophageal adenocarcinoma and pulmonary disease. Medical management It includes self-medication with antacids, H2 receptor antagonists, and proton pump inhibitors (PPIs). PPIs afford the highest levels of symptomatic relief and oesophageal…
