Good GORD: How to select patients suitable for surgery

The first international guidance on the topic says there's no need to exclude patients with morbid obesity

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