A member asked:

Why does nissen fundoplication reduce reflux symptoms, but not barrett's or cancer risk? i'm getting mixed messages on benefits of surgery.

2 doctors weighed in across 2 answers

Good article for you: Your question is best addressed by the following reference: Clin Gastroenterol Hepatol. 2016 May;14(5):678-685. Gastroesophageal Acid Reflux Control 5 Years After Antireflux Surgery, Compared With Long-term Esomeprazole Therapy. Hatlebakk JG et al. -- an abstract of which can be found at: http://www.ncbi.nlm.nih.gov/pubmed/26226096

Answered 5/18/2016

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Surgery will help: This is a tough question and still being looked at. The data so far does show that antireflux surgery)does shows some regression of short amounts of Barrett's. It has also helped slow the progression of Barrett's to cancer. However it does not eliminate the need for continued surveillance. Consult your physician on that. If a hiatal hernia repaired it may also help with future Barrett tx.

Answered 8/8/2017

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