General first-line measures against reflux oesophagitis include:
Guidance as to the management of oesophagitis in primary care is provided by NICE (1).
If the condition is intractable then surgical intervention may be indicated. This amounts to 5% of patients seen by a specialist, usually people troubled by the volume of fluid regurgitated rather than by the oesophagitis. The operation of choice is fundoplication which may be carried out in an open manner via transthoracic or transabdominal approaches, or via a laparoscope.
Reference
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