Prospective Evaluation of Symptom Resolution in Acid Versus Non-acid Reflux Disease Following Anti-reflux Surgery

Inclusion Criteria: * Patients who are offered anti-reflux surgical treatment with elevated DeMeester scores or with low (less than 14.7) DeMeester scores, but with positive impedance scores (positive symptom index associated with reflux episodes). Exclusion Criteria: * • Previous major upper gastrointestinal surgery (includes esophagus, stomach, and duodenum) - previous cholecystectomy (gallbladder removal) is not considered a major upper GI surgery * Presence of paraesophageal hernia (type II - type IV) * Presence of large hiatal hernia \>5cm * Presence of peptic strictures * History of severe esophageal motility disorders such as: * achalasia * diffuse esophageal spasms * scleroderma * poorly-controlled diabetes mellitus * autonomic or peripheral neuropathy * myopathy * Pregnancy (As a standard operating procedure, women of child-bearing age will undergo a urine pregnancy test the morning of surgery because anti-reflux surgery is considered an elective case, where pregnancy is a relative contraindication.) * BMI greater than 40 * Undergoes Collis gastroplasty during surgery * Conversion to an open procedure * Age less than 18 years old