BACKGROUND We recently implemented the use of an ex-vivo porcine model to teach residents the fundamentals of performing a laparoscopic Nissen fundoplication. METHODS Residents were trained using intact porcine esophagus, stomach, and spleen placed in a standard video-trainer. They were later asked to complete a survey containing a course evaluation. RESULTS Sixteen residents (R1-R4) comple...

BACKGROUND Neonates with severe neurological impairment are often unable to swallow, necessitating gastrostomy for feeding. Because of the risk of developing severe reflux, this procedure is often associated with fundoplication. OBJECTIVE To assess the safety and efficacy of gastrostomy and Nissen fundoplication in 22 neonates with swallowing difficulties due to serious neurological impairmen...

Introduction Gastroesophageal reflux disease (GERD) is a major public health problem. The "gold standard" in the surgical treatment of this condition is the laparoscopic technique called Nissen fundoplication. Aim This paper presents a safer alternative of the laparoscopic Nissen fundoplication, with special focus on the most difficult moment of the intervention, the creation of a retroesophage...

OBJECTIVE To investigate the effect of delayed gastric emptying (DGE) on subjective and objective outcomes of gastroesophageal reflux disease following Nissen fundoplication with or without pyloroplasty. DESIGN Retrospective analysis of prospectively collected data. SETTING Tertiary care teaching hospital. PATIENTS A total of 141 consecutive patients considered for Nissen fundoplication w...

A 39-year-old Caucasian male, who had suffered since the age of 19 years from gastroesophageal reflux disease and had undergone laparoscopic Nissen fundoplication with initial resolution of his complaints four years earlier, presented with worsening of heartburn and a new onset of dysphagia. Endoscopy detected an ulcerated fistula orifice on the z-line. Retrograde vision revealed intact Nissen ...

OBJECTIVE To evaluate the prevalence and possible contributing factors to postprandial bloating in patients having chronic gastroesophageal reflux disease (GERD) before and after laparoscopic Nissen fundoplication. DESIGN A prospective cohort study. SETTING A tertiary care teaching hospital. PATIENTS Five hundred and seventy-eight patients with proven GERD. INTERVENTION Laparoscopic Nis...

Towards a better representation of the solar cycle in general circulation models K. M. Nissen, K. Matthes, U. Langematz, and B. Mayer Institut für Meteorologie, Freie Universität Berlin, Carl-Heinrich-Becker-Weg 6–10, 12165 Berlin, Germany National Center for Atmospheric Research, 3450 Mitchell Lane, Boulder, CO 80301, USA Institut für Physik der Atmosphäre, Deutsches Zentrum für Luftund Raumfa...

BACKGROUND Dumping syndrome is a recognized complication of various gastric surgical procedures, such as vagotomy, pyloroplasty, and gastrojejunostomy. However, it has not to date been reported following laparoscopic Nissen fundoplication in adults. CASE REPORT We describe the case of a 34-year-old woman who developed late dumping syndrome following an uneventful laparoscopic Nissen fundoplic...

Introduction: More fundoplications are done because laparoscopic Nissen fundoplication is less invasive than open surgery. Although recovery after laparoscopic Nissen fundoplication is faster, and complications are fewer, than after open procedures, some potentially life-threatening complications can arise. Acute gastric volvulus is one of these and, because it is not a frequent event, its diag...