Re: Surgery or drugs for gastro-oesophageal reflux?
The reviews of the use of surgery or drugs in the treatment of gastro-oesophageal reflux presented by Peter Mc Culloch1 , A M Grant et al2 do not refer in detail to the causes of failure of either of these pathways. Such causes may include persistent obesity, Zollinger-Ellison syndrome or persistent Helicobacter pylori infection. It would be of interest to know to what extent these factors were considered by the authors.
Michael Rinsler
Consultant Chemical Pathologist (retired)
London NW8 9TB
UK
mikerinsler@ hotmail .com
No competing interest
Rapid Response:
Re: Surgery or drugs for gastro-oesophageal reflux?
The reviews of the use of surgery or drugs in the treatment of gastro-oesophageal reflux presented by Peter Mc Culloch1 , A M Grant et al2 do not refer in detail to the causes of failure of either of these pathways. Such causes may include persistent obesity, Zollinger-Ellison syndrome or persistent Helicobacter pylori infection. It would be of interest to know to what extent these factors were considered by the authors.
Michael Rinsler
Consultant Chemical Pathologist (retired)
London NW8 9TB
UK
mikerinsler@ hotmail .com
No competing interest
1 BMJ 2013;346:f2263
2 BMJ 2013;346:f1908
Competing interests: No competing interests