Question

A 68-year-old with severe refractory GERD despite optimized PPI and confirmed pathologic reflux seeks anti-reflux procedure. Which surgical option is standard?

Accepted Answer

Laparoscopic fundoplication after appropriate testing

Answer

Roux-en-Y for all GERD

Answer

Stretta only

Answer

No intervention; lifelong PPI only

Answer

Endoscopic therapy is universally superior

Practice question

A 68-year-old with severe refractory GERD despite optimized PPI and confirmed pathologic reflux seeks anti-reflux procedure. Which surgical option is standard?