{"id":16889,"date":"2023-08-22T16:18:21","date_gmt":"2023-08-22T14:18:21","guid":{"rendered":"https:\/\/refluxkrankheit.ch\/conclusion\/"},"modified":"2026-07-06T15:30:19","modified_gmt":"2026-07-06T13:30:19","slug":"conclusion","status":"publish","type":"page","link":"https:\/\/refluxkrankheit.ch\/en\/conclusion\/","title":{"rendered":"Conclusion"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16889\" class=\"elementor elementor-16889 elementor-15428\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-584d623 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"584d623\" data-element_type=\"section\" data-e-type=\"section\" id=\"ursachen\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7cff569\" data-id=\"7cff569\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ea5552 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"1ea5552\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tFinal Considerations\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9e8c98 elementor-widget elementor-widget-text-editor\" data-id=\"e9e8c98\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Gastroesophageal reflux disease is one of the most common benign conditions of the upper gastrointestinal tract. A significant proportion of the population is affected on a long-term basis, often with a considerable impact on quality of life. <\/p><p>Initial treatment is conservative (dietary modification, elevation of the head of the bed, weight reduction, avoidance of nicotine and alcohol). In many cases, medical therapy is required. After discontinuation of medication, symptoms recur in a substantial number of patients. In such cases, the therapeutic options are either long-term treatment with PPIs or surgical intervention.   <\/p><p>While medical therapy reduces acid production, alleviates symptoms, and often leads to healing of inflammatory changes in the esophagus, its effect is dependent on continued use. <\/p><p>Surgical approaches aim to provide long-term control of reflux by restoring the anatomical conditions at the gastroesophageal junction. Depending on the technique, either the barrier function is reinforced or the natural closure mechanism is reconstructed in a function-preserving manner. <\/p><p>In the modified BICORN procedure, the focus is on anatomical reconstruction. In addition to effective reflux control, natural functions such as belching and\u2014if necessary\u2014vomiting are generally preserved. This preservation of physiological function is a key determinant of postoperative quality of life.  <\/p><p>Reflux disease is, in the vast majority of cases, mechanical in nature. From this perspective, purely medical therapy cannot correct the underlying cause. Surgical treatment therefore addresses the underlying cause by restoring the anatomical and functional conditions at the gastroesophageal junction.  <\/p><p>Careful diagnostic evaluation, appropriate patient selection, and an individualized treatment strategy are essential. In experienced hands, this allows stable and reliable long-term outcomes. <\/p><p> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2f73f55\" data-id=\"2f73f55\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-921972d elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"921972d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1-1024x683.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1-1024x683.jpg 1024w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1-300x200.jpg 300w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1-768x512.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1-1536x1024.jpg 1536w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-1.jpg 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-58d85f8 elementor-section-full_width qodef-elementor-content-grid elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"58d85f8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8cc8383\" data-id=\"8cc8383\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2dd7aca elementor-widget-tablet__width-initial elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"2dd7aca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-683x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-683x1024.jpg 683w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-200x300.jpg 200w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-768x1152.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-1024x1536.jpg 1024w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-1365x2048.jpg 1365w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/portrait-feigel-laechelnd-scaled.jpg 1707w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c2d08f5\" data-id=\"c2d08f5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f65fd35 elementor-widget elementor-widget-text-editor\" data-id=\"f65fd35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>A Personal Note<\/h2><p>We hope this updated website has provided you with a clear and informative overview of gastroesophageal reflux disease (GERD), hiatal hernias, and the diagnostic and treatment options available today.<\/p><p>Our goal has been to present complex medical information in a way that is both easy to understand and scientifically accurate. However, no website can replace a personal consultation with an experienced physician. Nor is this website intended to be an exhaustive reference, as medical knowledge continues to evolve and every patient deserves an individual assessment.  <\/p><p>The information presented here reflects our current knowledge, our clinical experience, and our commitment to evidence-based medical practice. We regularly review and update the content to keep it accurate and current.<\/p><p>If you have any questions, comments, suggestions, or feel that any aspect of this website could be improved, we would be delighted to hear from you. Your feedback is greatly appreciated and helps us continue to improve this resource for future patients. <\/p><p>Thank you for your interest and for the trust you place in our team.<\/p><p><strong>Mischa Feigel, MD<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d9107d elementor-section-full_width elementor-section-content-middle qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"3d9107d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf2e3d5\" data-id=\"bf2e3d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8cf1912 elementor-widget-tablet__width-initial elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"8cf1912\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Do you have any questions? Contact us. <\/span><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fba219a elementor-widget-tablet__width-initial elementor-widget elementor-widget-promedica_core_button\" data-id=\"fba219a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"qodef-shortcode qodef-m  qodef-button qodef-layout--filled qodef-size--large qodef-html--link \" href=\"https:\/\/refluxkrankheit.ch\/en\/contact\/\" target=\"_self\"  >\n\t<span class=\"qodef-m-text\">Contact<\/span>\n<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e6ba841 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"e6ba841\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e7e2d75\" data-id=\"e7e2d75\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2f494c elementor-widget elementor-widget-text-editor\" data-id=\"b2f494c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Learn more about reflux disease and its treatment<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7a256f3\" data-id=\"7a256f3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6be1765 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"6be1765\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-4995845\" data-id=\"4995845\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f24bb2 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"8f24bb2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/reflux-disease\/\" target=\"_self\">\n\t\n\t\t<img decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/refluxkrankheit-aufstossen-symbolbild-3-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/reflux-disease\/\" target=\"_self\">\n\t\t\t\t\tReflux Disease: Causes &amp; Symptoms\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-79fb00e\" data-id=\"79fb00e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3fd3386 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"3fd3386\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/examinations\/\" target=\"_self\">\n\t\n\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/magen-headerbild-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/examinations\/\" target=\"_self\">\n\t\t\t\t\tDiagnostic Evaluation\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-d4bf513\" data-id=\"d4bf513\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2ef411 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"a2ef411\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/\" target=\"_self\">\n\t\n\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/feigel_operationslampe_headerbild-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/\" target=\"_self\">\n\t\t\t\t\tTreatment\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Final Considerations Gastroesophageal reflux disease is one of the most common benign conditions of the upper gastrointestinal tract. A significant proportion of the population is affected on a long-term basis, often with a considerable impact on quality of life. Initial treatment is conservative (dietary modification, elevation of the head of the bed, weight reduction, avoidance [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-full-width.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-16889","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Conclusion - Reflux Surgery - Center for Visceral Surgery and Bariatrics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/refluxkrankheit.ch\/en\/conclusion\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Conclusion - Reflux Surgery - Center for Visceral Surgery and Bariatrics\" \/>\n<meta property=\"og:description\" content=\"Final Considerations Gastroesophageal reflux disease is one of the most common benign conditions of the upper gastrointestinal tract. A significant proportion of the population is affected on a long-term basis, often with a considerable impact on quality of life. 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