How does esophyx compare to nissen fundoplication in terms of efficacy and safety? i have bad gerd and laryngitis. which should i do?

Both have pros&cons: Bad gerd with laryngitis that is poorly managed with meds makes you a candidate for either procedure. Esophyx is endoscopic without scars but is newer, less studied& not indicated for big hiatal hernia. Laparoscopic nissen fundoplication is the gold standard but it is a surgery/more expensive and makes it difficult to heave or burp. They are both operator dependent & patient selection is key.

Both are good. : Both are good. The nissen is 90-95% successful but has a relatively high side effect profile (up to 60% in some studies) for bloating and trouble swallowing. The esophyx is 80-85% successful but only has about a 2% bloat and dysphagia rate. A hybrid tif can be done to fix the hiatal hernia laparoscopically then do the transoral wrap with the esophyx device. Talk to a surgeon who does both.