Nissen fundoplication for the treatment of gastroesophageal reflux disease in patients with Chagas disease without achalasia.

Chagas disease (CD) is very prevalent in South America, with wellknown manifestations in the digestive system. CD esophagopathy leads to a clinical and manometric picture similar to idiopathic (primary) achalasia. Although the treatment for CD esophagopathy is well established, South American surgeons and gastroenterologists are sometimes faced with CD patients without esophageal involvement but with gastroesophageal reflux disease (GERD) complaints. Surgical therapy in these patients may be debatable due to the fear of deterioration of esophageal peristalsis over time and consequent dysphagia.