Which procedure is a treatment option for persistent GERD?

Fundoplication is a surgical procedure that is commonly used to treat persistent gastroesophageal reflux disease (GERD), especially when lifestyle changes and medications have failed to provide adequate relief. This procedure involves wrapping the upper part of the stomach (the fundus) around the lower esophagus to strengthen the lower esophageal sphincter (LES), which prevents the backflow of stomach contents into the esophagus.

By enhancing the mechanism that keeps gastric acid from moving up into the esophagus, fundoplication effectively addresses the underlying issue of GERD. Patients who undergo this surgery often report significant improvement in symptoms and quality of life, making it a favored option for those with chronic GERD that does not respond to conservative treatments.

Other procedures listed do not target the underlying issue of GERD directly. For example, diverticulectomy focuses on the removal of diverticula and is not related to reflux disease. A barium swallow is a diagnostic imaging test used to assess swallowing and reflux but does not provide treatment. Myotomy is primarily performed for achalasia, a condition characterized by difficulty in swallowing due to esophageal muscle dysfunction, and is unrelated to GERD management.