Abstract
Gastro esophageal reflux disease (GERD) is the most common esophageal disease in USA. Classic symptoms that suggest GERD are heartburn and regurgitation. Nissen fundoplication remains as the surgical gold standard technique in selected patients. Fifty percent of patients with moderate to severe esophagitis have peristaltic dysfunction usually characterized by decreased wave amplitude; this amplitude finding is directly proportional to GERD severity. Nissen fundoplication in patients with peristaltic dysfunction remains controversial because of postoperative dysphagia but there have been recent reports that suggest esophageal improved motor function after fundoplication.
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