10. What are GERD treatment goals?

Goals in the treatment of GERD including elimination of symptoms and healing of mucosal injury, and the prevention of complications such as stricture and Barrett esophagus.

Lifetime control is necessary.  Unlike ulcer disease, GERD cannot be "cured" by pharmacolic intervention.  Permanent restoration of the gastroesophageal barrier can only be achieved by an antireflux operation, which is highly successful given careful patient selection and proper technique.