Laparoscopic Nissen fundoplication is a satisfactory alternative to long-term omeprazole therapy

1995 ◽  
Vol 82 (7) ◽  
pp. 938-942 ◽  
Author(s):  
M. Anvari ◽  
C. Allen ◽  
A. Borm
Keyword(s):  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Laparoscopic Nissen

The effects of laparoscopic Nissen fundoplication on Barrett's esophagus: Long-term results

2011 ◽  
Vol 47 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Zsolt Simonka ◽  
Attila Paszt ◽  
Szabolcs Ábrahám ◽  
József Pieler ◽  
János Tajti ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Long Term Results ◽  
Laparoscopic Nissen

Ten-Year Follow up after Laparoscopic Nissen Fundoplication for Gastroesophageal Reflux Disease

2007 ◽  
Vol 73 (8) ◽  
pp. 748-753 ◽  
Author(s):  
Sarah M. Cowgill ◽  
Rachel Gillman ◽  
Emily Kraemer ◽  
Sam Al-Saadi ◽  
Desiree Villadolid ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Gastroesophageal Reflux Disease ◽  
Reflux Disease ◽  
Laparoscopic Fundoplication ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Initial Experience ◽  
Laparoscopic Nissen

Laparoscopic Nissen fundoplication was first undertaken in the early 1990s. Appreciable numbers of patients with 10-year follow up are only now available. This study assesses long-term outcome and durability of outcome after laparoscopic Nissen fundoplication for treatment of gastro-esophageal reflux disease. Since 1991, 829 patients have undergone laparoscopic fundoplications and are prospectively followed. Two hundred thirty-nine patients, 44 per cent male, with a median age of 53 years (± 15 standard deviation) underwent laparoscopic Nissen fundoplications at least 10 years ago; 28 (12%) patients were “redo” fundoplications. Before and after fundoplication, among many symptoms, patients scored the frequency and severity of dysphagia, chest pain, vomiting, regurgitation, choking, and heartburn using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome). Symptom scores before versus after fundoplication were compared using a Wilcoxon matched-pairs test. Data are reported as median, mean ± standard deviation, when appropriate. After fundoplication, length of stay was 2 days, 3 days ± 4.8. Intra-operative inadvertent events were uncommon and without sequela: 1 esophagotomy, 1 gastrotomy, 3 cardiac dysrhythmias, and 3 CO2 pneumothoraces. Complications after fundoplication included: 1 postpneumonic empyema, 3 urinary retentions, 2 superficial wound infections, 1 urinary tract infection, 1 ileus, and 1 intraabdominal abscess. There were two perioperative deaths; 88 per cent of the patients are still alive. After laparoscopic Nissen fundoplication, frequency and severity scores dramatically improved for all symptoms queried (P < 0.001), especially for heartburn frequency (8, 8 ± 3.2 versus 2, 3 ± 2.8, P < 0.001) and severity (10, 8 ± 2.9 versus 1, 2 ± 2.5, P < 0.001). Eighty per cent of patients rate their symptoms as almost completely resolved or greatly improved, and 85 per cent note they would again have the laparoscopic fundoplication as a result of analysis of our initial experience, thereby promoting superior outcomes in the future. Nonetheless, follow up at 10 years and beyond of our initial experience documents that laparoscopic fundoplication durably provides high patient satisfaction resulting from long-term amelioration of the frequency and severity of symptoms of gastroesophageal reflux disease. These results promote further application of laparoscopic Nissen fundoplication.

Long-term Results of Laparoscopic Nissen Fundoplication With or Without Short Gastric Vessels Division

2011 ◽  
Vol 21 (4) ◽  
pp. 267-270 ◽  
Author(s):  
Benedetto Ielpo ◽  
Pedro Martin ◽  
Ricardo Vazquez ◽  
Ramon Corripio ◽  
Juan San Roman ◽  
...  
Keyword(s):  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Long Term Results ◽  
Laparoscopic Nissen ◽  
Short Gastric Vessels

Who will fail laparoscopic Nissen fundoplication? Preoperative prediction of long-term outcomes

2007 ◽  
Vol 21 (11) ◽  
pp. 1978-1984 ◽  
Author(s):  
Craig B. Morgenthal ◽  
Edward Lin ◽  
Matthew D. Shane ◽  
John G. Hunter ◽  
C. Daniel Smith
Keyword(s):  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Long Term Outcomes ◽  
Preoperative Prediction ◽  
Laparoscopic Nissen
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