Evidence-based practice guideline for surgical treatment of gastroesophageal reflux disease 2018

Ho Seok Seo, Miyoung Choi, Sang Yong Son, Min Gyu Kim, Dong Seok Han, Han Hong Lee

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

Original languageEnglish
Pages (from-to)313-327
Number of pages15
JournalJournal of Gastric Cancer
Issue number4
StatePublished - Dec 2018


  • Fundoplication
  • Gastroesophageal reflux
  • Guideline
  • Systematic review
  • Treatment

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