A 60-year-old with severe, refractory GERD after optimized medical therapy and proven pathologic reflux considers endoscopic anti-reflux procedures. W...

Question

A 60-year-old with severe, refractory GERD after optimized medical therapy and proven pathologic reflux considers endoscopic anti-reflux procedures. What do guidelines say?

Accepted Answer

Surgery (fundoplication) has more robust evidence than endoscopic therapies for durable control

Answer

Endoscopic therapies replace surgery in all

Answer

No role for surgery

Answer

Bariatric banding is preferred

Answer

Empiric dilation only

us-abim MCQ (SBA): GERD (Endoscopic vs Surgical)

A 60-year-old with severe, refractory GERD after optimized medical therapy and proven pathologic reflux considers endoscopic anti-reflux procedures. What do guidelines say?