When is fundoplication considered in GERD management?

When is fundoplication considered in GERD management?

• A. After other therapies have failed
• B. As first-line therapy
• C. In infants always
• D. Only in adults

Answer: (A)

Fundoplication is reserved for GERD when non-surgical approaches have not achieved control. In practice, GERD is first managed with lifestyle modifications and medical therapy (like acid suppression). Surgery is considered when symptoms or complications persist despite optimized medical therapy, or when a patient cannot tolerate long-term medical treatment or wishes to avoid ongoing medications. That’s why the best answer is that fundoplication is considered after other therapies have failed. It isn’t used as first-line therapy, and it isn’t mandated for infants or limited to adults—it's chosen based on whether medical management has been unsuccessful or there are specific indications, with the goal of providing durable symptom relief and reducing reflux burden.

Fundoplication is reserved for GERD when non-surgical approaches have not achieved control. In practice, GERD is first managed with lifestyle modifications and medical therapy (like acid suppression). Surgery is considered when symptoms or complications persist despite optimized medical therapy, or when a patient cannot tolerate long-term medical treatment or wishes to avoid ongoing medications. That’s why the best answer is that fundoplication is considered after other therapies have failed.

It isn’t used as first-line therapy, and it isn’t mandated for infants or limited to adults—it's chosen based on whether medical management has been unsuccessful or there are specific indications, with the goal of providing durable symptom relief and reducing reflux burden.