The typical symptoms of this are heartburn and regurgitation, but it can also present with pain on swallowing, chest pain or nausea. It is important to check particularly in older patients that there is no risk of progression to cancer by endoscopy. Although most patients respond to proton pump inhibitors increasingly there are patients who do not respond to them. In these patients further investigation with pH recording which is offered at Shirley Oaks is useful.

Gastro-Oesophageal Reflux Treatment in London

Other groups of patients particularly those with a lot of regurgitation and choking will benefit from surgery by laparoscopic fundoplication. The initial investigation and assessment of suitability can be assessed at Shirley Oaks and appropriate referral arranged.

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