Reflux oesophagitis

Symptomatic gastro-oesophageal reflux is one of the commonest presentations to GPs, with 15–20% of the adult population experiencing heartburn at least once per week. Surgery for gastro-oesophageal reflux disease is increasing in ‘developed’ countries due to the limitations of the long-term effectiveness of proton pump inhibitor therapy in controlling severe reflux, and the more widespread use of laparoscopic fundoplication, which is more attractive than open surgery. This contribution focuses on the presentations, indications, procedures and complications of surgery of this common condition.