BACKGROUND Eighty percent of patients treated medically for gastroesophageal reflux disease relapse after treatment. Many of these patients require indefinite treatment with omeprazole to prevent recurrence. Nissen fundoplication has been shown to be effective, safe and cost effective in the management of gastroesophageal reflux disease. We suggest a treatment algorithm, which encourages early ...

IMPORTANCE Gastrostomy tube (GT) placement is the most common gastrointestinal operation performed on neonates. Concomitant fundoplication is used variably to prevent complications of gastroesophageal reflux, but its effectiveness is unproven. OBJECTIVE To compare the effect of fundoplication at the time of GT placement vs GT placement alone on subsequent reflux-related hospitalizations in in...

BACKGROUND Advances in minimally invasive surgery have led to the emergence of single-incision laparoscopic surgery (SILS). The purpose of this study is to assess the feasibility of SILS Nissen fundoplication and compare its outcomes with traditional laparoscopic Nissen fundoplication. METHODS This is a retrospective study of 33 patients who underwent Nissen fundoplication between January 200...

Gastroesophageal reflux disease (GERD) is a serious phenomenon in pediatric health care. Without proper treatment, complications related to GERD can impede normal development and can lead to multiple hospitalizations and medical conditions. Previously, surgical intervention was limited to one technique, nissen fundoplication; however, the use of various forms of fundoplication surgery, primaril...

Abstract Background Gastroesophageal reflux disease (GORD) in patients receiving a lung transplant has been associated with worsened graft function and decreased survival. This analysis aimed to identify whether fundoplication following can improve overall Methods undergoing transplantation between January 1993 2020 were included. Data on oesophageal pH, manometry testing, post-transplant testi...

Laparoscopic Nissen fundoplication is the current standard surgical option for complicated GERD and symptomatic hiatal hernia. Though comparable in safety, short-term efficacy, and patient satisfaction when compared with open operation, laparoscopic Nissen fundoplication has demonstrated shorter hospital stays and recuperative times. Commonly reported complications include gastric or esophageal...

HYPOTHESIS There is general agreement that a Heller myotomy should extend 6 to 7 cm above the gastroesophageal junction. Results of most previous studies have recommended that the myotomy extend 1 to 1.5 cm below the gastroesophageal junction. We speculated that the effectiveness of the operation could be improved if a longer, 3-cm myotomy was carried out below the gastroesophageal junction, as...

BACKGROUND We have reported 1-year outcomes and antacid medication use in 100 patients undergoing laparoscropic Nissen fundoplication. As a follow-up study, we queried these same patients to determine whether their outcomes endured 4 years after fundoplication. METHODS One hundred patients undergoing laparoscopic Nissen fundoplication between 1992 and 1997 were asked, at 1 to 2 years and 4 to...

BACKGROUND Laparoscopic fundoplication is increasingly performed in pediatric surgery. Many types of fundoplication are performed, each has advantages and disadvantages. To date there has been no prospective randomized study to determine the optimal laparoscopic technique in children. The aim of the study was to compare the long-term outcomes and control of symptoms after laparoscopic Nissen fu...

Revision anti-reflux surgery is challenging. With higher rates of complications and lower symptoms control, patient selection critical. Roux-en-Y gastrectomy re-fundoplication being the most commonly performed procedures, there no clear guidance on operative base characteristics. A literature review was PubMed database with search terms ‘reflux’, ‘gastrectomy’, ‘fundoplication’. Of 164 results,...