Good GORD: How to select patients suitable for surgery
The first international guidance on which patients with gastro-oesophageal reflux disease should be referred for surgery have been launched.
A panel of experts from 15 countries, including Australia, drew up the ICARUS consensus guidelines using the Delphi technique, with 80% agreement being sufficient to make a recommendation.
The guidelines recommend that the following are mandatory prior to referral:
- Endoscopy during the last year (patients can be on PPIs)
- Oesophageal manometry
- Oesophageal pH monitoring