This patient's symptoms may be due to improper evaluation before surgery (ie, wrong diagnosis) or to a failure of that surgery (ie, poor treatment). Therefore, this case raises 3 important questions: ...

1. Which doctor performs Nissen fundoplication? Nissen fundoplication is carried out by a gastroenterology surgeon. 2. Can gastroesophageal reflux disease be cured? Patients who undergo ...

Gastroesophageal reflux disease (GERD) is common in obese patients; however, obesity has long been considered a contraindication to laparoscopic antireflux surgery. To date, conflicting results have ...

What is the usual duration of efficacy of fundoplication in patients with gastroesophageal reflux disease (GERD)? And is that duration dependent on whether the fundoplication is a full wrap or a ...

A 70-year-old man who was visiting Boston came to the emergency room in January 1998 with pain in his left shoulder that radiated to his neck. The hematocrit was 16 percent. His medical history ...