Skip to content
My WebMD Sign In, Sign Up

Heartburn/GERD Health Center

Font Size

GERD Surgery Pricey In Short Term

Surgery Costs Outweigh Drug Savings
By
WebMD Feature

Even though it cuts the need for anti-acid drugs, GERD surgery isn't cost-effective in the short term.

GERD -- gastroesophageal reflux disease -- happens when the valve between the stomach and the esophagus doesn't work right. This lets acid escape the stomach and burn its way up the esophagus. Several types of drugs can help. So can surgery. Which costs less? Erin M. Sullivan, PhD, and colleagues at Boston Scientific Corp. and Cleveland Clinic Foundation took a look.

Recommended Related to Heartburn/GERD

Barrett's Esophagus: Symptoms, Causes, and Treatments

Barrett's esophagus is a serious complication of GERD, which stands for gastroesophageal reflux disease. In Barrett's esophagus, normal tissue lining the esophagus -- the tube that carries food from the mouth to the stomach -- changes to tissue that resembles the lining of the intestine. About 10% of people with chronic symptoms of GERD develop Barrett's esophagus. Barrett's esophagus does not have any specific symptoms, although patients with Barrett's esophagus may have symptoms related to GERD...

Read the Barrett's Esophagus: Symptoms, Causes, and Treatments article > >

Sullivan's team matched 123 GERD patients who opted for surgery with 246 GERD patients who stayed on drug therapy. In the year before their operations, the surgery patients had higher medical costs due partly to more GERD-related treatment and partly to more medical tests. After their operations, Surgery patients averaged 62% fewer days on GERD drugs than non-surgery patients. Even so, their overall medical costs were higher for the 18 months after their operations.

"The assumption has been that the one-time cost of surgery is lower than the long-term cost of drugs, but we found that the surgery costs were not offset by the reduction in medication costs during an 18-month follow-up period," Sullivan says in a press release.

It remains to be seen whether surgery will prove cost effective over longer periods of time.

Surgery for GERD is called fundoplication. In this operation, the upper curve of the stomach is wrapped around the esophagus and sewn into place. This lets the lower part of the esophagus pass through a small tunnel of stomach muscle. This strengthens the valve between the esophagus and stomach, making it harder for acid to back up into the esophagus.

Sullivan reported the study findings at this weeks meeting of the American College of Gastroenterology.

Reviewed on October 22, 2002

Today on WebMD

Heartburn illustration
Slideshow
Heartburn Control Assess Your Symptoms
Assessment
 
heartburn foods
Slideshow
Nighttime Heartburn
Article
 
digestive health
Slideshow
Heartburn or Heart Attack
Article
 
heartburn
Article
Top 10 Heartburn Foods
Video
 
Is it Heartburn or Gerd
Video
digestive myths
Slideshow
 
Extreme Eats
Slideshow
graphic of esophageal area
Article