Pill or op for reflux?

If you had long standing acid reflux, would you take a pill or consider surgery?

This three year study compared the effectiveness and safety of a daily tablet (esomeprazole 20-40mg) versus laparoscopic antireflux surgery (LARS) for chronic gastro-oesophageal reflux disease (GORD). Both groups did well; 93% on medical treatment remained symptom free after three years, compared to 90% after surgery. There were no major postoperative complications after surgery.

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Source: Gut 2008;57:1207-1213