Antireflux surgery should be considered after medications have failed. That is, failing once DAILY high
dose PPI or twice DAILY PPI (like
nexium). This does not sound to be the case. However, some patients elect to have surgery to eliminate need for medications. This surgery, however, does not guarantee cure. There is a fair amount of patients who still need medications after the surgery and a significant amount that require a second operation, if this first surgery fails.