One of the goals of @entity1104 ( @entity1104 ) is to lower medications usage for heartburn symptoms. There has been some controversy as to whether this is accomplished by surgery. In addition, there is little comparative data of medical usage in @entity1 suffering from @entity354 ( @entity354 ) treated nonoperatively with those treated with surgery, and no data on additional esophageal procedures, such as @entity384 . The purpose of this study was to determine these differences in a matched group of medically and surgically treated @entity1 with at least 1 year of follow-up. All @entity1 who underwent @entity1104 with at least 1 year of follow-up were included. These @entity1 were matched to a group of medically treated @entity1 for gender, age, and month of surgery to month of gastroenterologic clinic visit. Information was gathered through the medical record or direct contact for the present use of medications and additional esophageal procedures related to @entity354 . One hundred twenty-two @entity1 in each group were studied. Medication usage consisted of 13% of @entity1104 @entity1 versus 95% of medical @entity1 (P < 0.0001). @entity1104 @entity1 had used 359 @entity1 -months of medications versus 3578 in the medical group (P < 0.0001). Only 25% of @entity1104 @entity1 prescribe medications actually responded to their use. Additional procedures consisted of 9% of @entity1104 @entity1 versus 64% of medical @entity1 (P < 0.0001). In conclusion, @entity1104 leads to decreased medication use and to decreased use of subsequent esophageal procedures. In addition, most postoperative @entity1104 @entity1 placed on medications do not respond, and therefore require an objective evaluation for their symptoms.

Medication usage and additional esophageal procedures after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1104 :: ('MESH:D000267', 'Disease') :: ['antireflux surgery', 'ARS'] @entity384 :: ('MESH:D002311', 'Disease') :: ['upper endoscopy or dilation'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease', 'GERD']
@entity1104 :: (MESH:D000267,Disease) :: ['antireflux surgery']
