This multiauthored text provides information on the pathophysiology of GERD, appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures for GERD. Thousands of patients will experience inadequate relief from medical therapy or will develop complications from their procedures or recurrent or new symptoms afterwards; this text describes in detail the proper evaluation and management of such patients.
Beginning with an overview of the current understanding of the pathophysiology of GERD, the book moves onto new information regarding tissue susceptibility, the role of bile and digestive enzymes, and cyclic changes in LES tone. The next chapters are devoted to standard therapeutic options for GERD, including lifestyle changes, pharmacologic therapy, and surgery. In addition, newer endoscopic treatments, such as Stretta, Endocinch, injection of bulking agents, as well as others, are described. Subsequent chapters focus on the causes for failure of medical, endoscopic, and surgical therapies. The remainder of the text is a detailed examination of medical, endoscopic, and surgical remedies for these treatment failures.
This text is essential to any physician who manages patients with GERD, including internists, gastroenterologists, general surgeons, and thoracic surgeons.

Table of contents (14 chapters)
History of Medical and Surgical Antireflux Therapy
Herbella, Fernando A. M. (et al.)
Pages 1-11
Preview Buy Chapter 30,19
Establishing the Diagnosis of GERD
Lo, Wai-Kit (et al.)
Pages 13-18
Medical Management of GERD: Algorithms and Outcomes
Lo, Wai-Kit (et al.)
Pages 19-23
Principles of Successful Surgical Antireflux Procedures
Neto, Rafael Melillo Laurino (et al.)
Pages 25-31
Diagnosis and Treatment of the Extraesophageal Manifestations of Gastroesophageal Reflux Disease
Sidwa, Feroze (et al.)
Pages 33-49
Acute Complications of Antireflux Surgery
Tatarian, Talar (et al.)
Pages 51-59
Management of Complications: After Paraesophageal Hernia Repair
Dhanabalsamy, Nisha (et al.)
Pages 61-72
Persistent Symptoms After Antireflux Surgery and Their Management
Borges, Lawrence F. (et al.)
Pages 73-82
Technical Surgical Failures: Presentation, Etiology, and Evaluation
Knickerbocker, Chase (et al.)
Pages 83-89
Symptoms After Antireflux Surgery: Not Everything Is Caused By Surgery
Duke, Meredith C. (et al.)
Pages 91-97
The Medical and Endoscopic Management of Failed Surgical Anti-reflux Procedures
Repaka, Aparna (et al.)
Pages 99-109
Reoperation for Failed Antireflux Surgery
Bonavina, Luigi
Pages 111-120
Short Esophagus
Gorodner, Verónica (et al.)
Pages 121-129
Esophagectomy for Failed Anti-reflux Therapy: Indications, Techniques, and Outcomes
Treitl, Daniela (et al.)