[Gastroesophageal reflux disease refractory to medical treatment. Which approach: the pill or the scalpel?]. / Enfermedad por reflujo gastroesofágico refractaria al tratamiento medico. Qué conducta adoptar: la píldora o el bisturí?

We analyze the modern literature regarding natural history, clinical picture and treatment of gastroesophageal reflux disease. The characteristics of a small group of patients with tendency to relapse are emphasized, analyzing the possibilities offered by pharmacological as well as surgical treatment. Finally, we analyse the current literature of our country situation.