Laparoscopic antireflux surgery - It's a wrap!

The surgical management of gastroesophageal reflux disease has been simplif ied by the availability of minimally invasive techniques to treat this cond ition. The indications and selection of patients remain the same as for ope n surgery and initial results with laparoscopic antireflux surgery show lon g-term results equal to, or better than open procedure. These procedures ar e technically demanding requiring surgeons skilled in advanced laparoscopy. The evaluation of patients, selection of patients for surgery, surgical te chniques and anticipated outcomes are discussed.