Laparoscopic Antireflux Surgery in the Treatment of Gastroesophageal Reflux in Patients With Barrett Esophagus

Abstract
GASTROESOPHAGEAL reflux disease (GERD) is a common disorder occurring daily in up to 7% of persons surveyed in a recent population study.1 Complications of reflux disease include esophagitis, Barrett esophagus, pulmonary complications, or strictures, and these may occur in up to 50% of patients with GERD.1-3 Barrett esophagus is an acquired condition in which severe mucosal injury leads to a replacement of the native squamous cell epithelium with a metaplastic columnar epithelium. This specialized epithelium that develops has been linked to a substantially increased risk of esophageal adenocarcinoma.4