Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management

Recommendation ID: CG184/2
Question: Laparoscopic fundoplication compared with medical management:- What is the effectiveness of laparoscopic fundoplication compared with medical management in people with GORD that does not respond to optimal proton pump inhibitor (PPI) treatment?
Any explanatory notes (if applicable): Current evidence on the clinical and cost effectiveness of laparoscopic fundoplication compared with medical management involves people who had relatively good treatment control with PPIs at baseline. The driver was the desire to be free from medication rather than their GORD being non-responsive to PPIs.

Source guidance details

Comes from guidance: Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management
Number: CG184
Date issued: September 2014

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	15/10/2014