Comparison of Surgical Approaches to Recalcitrant Gastroesophageal Reflux Disease in the Patient with Scleroderma

A high complication rate was seen among patients undergoing esophagectomy. Both reflux control and dysphagia rates were improved in the RYGBP group compared with fundoplication. This finding suggests that RYGBP may be an option for the primary management of scleroderma-associated gastroesophageal reflux.