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Background: Better understanding of the pathogenesis of gastroesophageal reflux disease in recent years has not been accompanied by appreciable advances in the design of antireflux operations. In many cases, operations are still being performed just as they were described 30 years ago. It is important now to go beyond the eponymous procedures traditionally associated with antireflux operations and to identify the technical elements that contribute to effective and durable fundoplications. Objectives: To compare antireflux operations and identify the important technical elements. Design and Setting: Retrospective study in a universitybased tertiary care center. RESULTS The operating time for groups A, B, and C was 193 (±45), 150 (±50), and 161 (±47) minutes, respectively. The hospital PAPER

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Partial fundoplication is an excellent treatment for patients with GERD and weak peristalsis, for it corrects the abnormal reflux and avoids postoperative dysphagia.

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