Study: Drugs, Surgery Both Control GERD

Both surgery and medicines can successfully treat acid reflux, a head-to-head comparison finds. The study focused on gastroesophageal reflux disease (GERD). In this condition, a muscle in the esophagus does not stay closed. Acid and digestive enzymes back up in the throat. This causes heartburn and other symptoms. The study included 554 people who already had done well with the drug esomeprazole (Nexium). They were randomly divided into 2 groups. One group kept taking Nexium. The other group received surgery to strengthen the muscle. Five years later, GERD symptoms were under control for 85% of those who had surgery and 92% who took Nexium. People taking Nexium were more likely to have acid reflux than those who had surgery. People who had surgery were more likely to have gas, bloating and problems with swallowing.