Socal Gastroenterology and Endoscopy Center

Warner Village Building
10900 Warner Ave, Suite 121 Fountain Valley, CA 92708
TEL: 714.285.2385

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BOOKS

Current Medical Diagnosis & Treatment. New York: McGraw-Hill, 2003.

Ferri, Fred F. Ferri's Clinical Advisor. St. Louis, MO: Mosby, 2001.

PERIODICALS

Allgood, P. C., and M. Bachmann. "Medical or Surgical Treatment for Chronic Gastroesophageal Reflux: A Systematic Review of Published Effectiveness." European Journal of Surgery 166 (2000): 9.

Kahrilas, P. J. "Management of GERD: Medical vs. Surgical." Seminars in Gastrointestinal Disease 12 (2001): 3–15.

Scott, M., et al. "Gastroesophageal Reflux Disease: Diagnosis and Management." American Family Physician 59 (March 1, 1999): 1161–1172.

Society of American Gastrointestinal Endoscopic Surgeons. "Guidelines for Surgical Treatment of Gastroesophageal Reflux Disease (GERD)." Surgical Endoscopy 12 (1998): 186–188.

Spechler, S. J., et al. "Long-term Outcome of Medical and Surgical Therapies for Gastroesophageal Reflux Disease: Follow-Up of a Randomized Controlled Trial." Journal of the American Medical Association 285 (May 9, 2001): 2331–2338.

Triadafilopoulos, G., et al. "Radiofrequency Energy Delivery to the Gastroesophageal Junction for the Treatment of GERD." Gastrointestinal Endoscopy 53 (2001): 407–415.

Zaninotto, G., D. Molena, and E. Ancona. "A Prospective Multicenter Study on Laparoscopic Treatment of Gastroesophageal Reflux in Italy." Surgical Endoscopy 14 (2000): 282–288.

OTHER

National Digestive Diseases Information Clearinghouse. Heartburn, Hiatal Hernia, and Gastroesophageal Reflux Disease (GERD). 2003.

Society of American Gastrointestinal Endoscopic Surgeons. Patient Information from Your Surgeon and SAGES. 1997.

Mark Mitchell, M.D., M.P.H., M.B.A.

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?

Fundoplication, including the laparoscopic approach, is generally performed by a specialist known as a gastroenterologist. A gastroenterologist is a medical doctor (M.D.) who has received additional training in the diseases of the gastrointestinal system. Gastroenterologists who perform laparoscopic fundoplications receive extensive training in general surgery and in the proper techniques involving the use of the laparoscope. If surgery is being considered, it is a good idea to find out how many laparoscopic fundoplications the surgeon performs on a yearly basis. Laparoscopic fundoplications are often performed in the specialized department of a general hospital, but they are also performed in specialized clinics or institutes for gastrointestinal disorders.

QUESTIONS TO ASK THE DOCTOR

Questions to ask the primary care physician:

What are my alternatives?

Is surgery the answer for me?

Can you recommend a surgeon who performs the laparoscopic procedure?

If surgery is appropriate for me, what are the next steps?

Questions to ask the surgeon:

How many times have you performed Nissen or laparoscopic fundoplication?

Are you a board-certified surgeon?

What types of outcomes have you had?

What are the most common side effects or complications?

What should I do to prepare for surgery?

What should I expect following the surgery?

Can you refer me to one of your patients who has had this procedure?

What type of diagnostic procedures are performed to determine if patients require surgery?

Will I need to see another specialist for the diagnostic procedures?

Do you use endoscopy, motility studies, and/ or pH studies for your pre-operative evaluation?

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