Background:The most prevalent upper gastroesophageal disorder in Western populations is GERD. A number of techniques were recommended for this problem's prevention. Aim of the study: to compare the Nissen fundoplication with partial anterior fundoplication. Patients and Methods:The present comparative study comprised thirty patients with symptoms of GERD admitted in the pediatric surgery department, Al-Azhar University hospitals, and all patients submitted to preoperative clinical evaluation and investigations. Laparoscopic Nissen fundoplication (group I) or partial anterior fundoplication (group II) was randomly assigned to the patients. A consent form was signed by each participant in our study. Results: Between the two groups, there has been no significant difference in intraoperative complications or length of hospital stay. But, there was a significant difference in surgical time between the two groups in favor of the partial anterior procedure. Regarding heartburn and regurgitation after 1, 3, and 6 months, there is no significant difference between the two groups. After 3 months, there had been a highly significant difference in post-operative dysphagia favoring partial anterior fundoplication between the two groups, since dysphagia was significantly less common after partial anterior fundoplication. Gas bloating was less frequent after 1, 3, and 6 months with partial anterior fundoplication but without significant differences between both groups. Conclusion: Partial anterior fundoplication appears to be as safe and effective as Nissen fundoplication in treating GERD symptoms, even in patients with severe disease forms. Its technique is easier and requires less time to conduct.
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