Background: This article reviews the current literature pertaining to the diagnosis and management of gastroesophageal reflux disease (GERD) and hiatal hernia. Discussion: GERD is one of the most common gastrointestinal disorders in the USA. For effective management, a conclusive diagnosis must be made. Most patients are effectively managed by acid suppression therapy, whereas others require procedural treatment. Endoluminal treatment of GERD is an option, but long-term results of this therapy are unknown. The "gold standard" surgical treatment of GERD is laparoscopic Nissen fundoplication. Large hiatal hernias are difficult to manage with a relatively high rate of recurrent hiatal hernia. Conclusion: Whether or not to use mesh at the hiatus to decrease this occurrence is currently debatable.
- Endoluminal treatment
- Gastroesophageal reflux disease
- Hiatal hernia
- Nissen fundoplication
ASJC Scopus subject areas