GERD is caused when stomach acid and juices reflux into the esophagus.
This happens when the valve between the lower end of the esophagus and the
lower esophageal sphincter) does not close tightly.
This reflux can cause irritation, inflammation, or wearing away of the lining
of the esophagus, which is called esophagitis.
Surgery. Fundoplication surgery is the most common
surgery used to treat GERD. During surgery, the upper curve of the stomach (the
fundus) is wrapped around the esophagus and sewn into place so that the lower
portion of the esophagus passes through a small tunnel of stomach muscle. This
surgery strengthens the lower esophageal sphincter, which stops acid from
backing up into the esophagus as easily. This allows the esophagus to