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ESOPHAGUS, STOMACH, AND DUODENUM
Case #1 -
A 40 year old man with reflux symptoms

DISCUSSION QUESTIONS:
9.) What are the indications for surgery?

Indications for surgery:
  • Failure of intensive medical therapy
  • Recurrence of symptoms immediately after stopping medications, thus requiring long term therapy
  • Early stricture
  • Barrett's esophagus: surgery may stop progression of disease though it may or may not regress
  • Atypical symptoms such as chest pain, asthma, chronic cough, or hoarseness
 
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