I have severe gerd, uncontrolled by prescription + diet, causing crippling laryngitis for over a year. should i consider fundoplication? this surgery scares me.

Consider.: Sounds like your docs have already broached the subject with you. If you have truly optimized your med regimen, really instituted gerd precautions, then there does not seem much left to consider. Outcomes of surgery are pretty good at centers of excellence.

Yes you should.: Patients with severe gerd with extra-esophageal manifestations not responding to intensive medical therapy and lifestyle changes should be considered for nissen fundoplication. In our days it is done laparoscopically and in good hands the surgery is safe and effective. I have good success rates with my patients who failed high dose ppis.

Surgery can help. : There are several surgeries for reflux that are safe and effective. A nissen fundoplication, tif (transoral incisionless fundoplication), or a linx procedure can all help alleviate your reflux. Find a surgeon that offers several options and discuss your fears with them.

Rx PPI x 2-6 months: Many people with throat discomfort are surprised when they are told by their doctor that they have laryngeal pharyngeal reflux (LPR). Many people with LPR do not have any of the typical GERD symptoms.LPR frequently begins after an upper respiratory illness. There is mild heartburn, (Silent Reflux) but prominent L-P reflux /damage. Laryngoscopy shows ++swelling and inflamation Med. RX PPI 40mg bid