Anterior partial fundoplication for gastroesophageal reflux disease

Kneist, W.; Heintz, A.; Trinh, Tong T.; Junginger, Theodor

doi:10.1007/s00423-003-0388-0

Cited by 10 publications

(10 citation statements)

References 33 publications

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“…Both procedures achieved equivalent control of reflux and had a similar incidence of late dysphagia, but posterior fundoplication was associated with significantly less postprandial fullness and flatulence at late follow-up. One study evaluated the 6-44-month outcome of laparoscopic anterior partial fundoplication 17 . The results also suggested that the incidence of dysphagia was less than that after Nissen fundoplication.…”

Section: Discussionmentioning

confidence: 99%

Ten-year clinical outcome of a prospective randomized clinical trial of laparoscopic Nissen versus anterior 180° partial fundoplication

Cai

Watson

Lally

et al. 2008

British Journal of Surgery

106

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Background: A randomized trial of laparoscopic Nissen fundoplication and anterior 180°partial fundoplication was undertaken to determine whether the anterior procedure might reduce the incidence of dysphagia and other adverse outcomes following surgery for gastro-oesophageal reflux disease. This study evaluated clinical outcomes after 10 years.Methods: Some 107 patients were randomized to undergo laparoscopic Nissen or anterior 180°partial fundoplication. Ten-year data were not available for 18 patients. Information was obtained from 89 patients (48 Nissen, 41 anterior fundoplication) using a standard clinical questionnaire that focused on symptoms of reflux, potential postoperative side-effects and overall satisfaction with the outcome of surgery.Results: There were no significant differences between the two groups with regard to reflux symptoms, dysphagia, abdominal bloating, ability to belch and overall satisfaction. Between 5 and 10 years after surgery, revisional surgery was required for reflux in two patients after anterior fundoplication. Two patients had revision after Nissen fundoplication, for reflux and recurrent hiatus hernia. Conclusion

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Section: Discussionmentioning

confidence: 99%

Ten-year clinical outcome of a prospective randomized clinical trial of laparoscopic Nissen versus anterior 180° partial fundoplication

Cai

Watson

Lally

et al. 2008

British Journal of Surgery

106

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“…15 Kneist et al, recorded a conversion rate (1.3%). 16 In present study mean operative time in group I was 95 minutes and 116 minutes in group II. There was significant difference between both groups as regards the operative time in favor of partial anterior wrap.…”

Section: Discussionmentioning

confidence: 45%

“…17,18 Kneist et al, reported mean operative time 90 min for partial anterior fundoplication. 16 Peters et al, recorded 202±58 min for Nissen fundoplication. 19 After 3, 6, 12months, a standardized score was used to assess the clinical improvement of the symptoms after operations (heartburn and regurgitation) and revealed that both partial anterior and Nissen fundoplication are effective in controlling heartburn and regurgitation with significant difference between both groups after 3months in favor of Nissen, but after 6 and 12months follow up there was no significant difference between both groups.…”

Section: Discussionmentioning

confidence: 99%

Perioperative manometric studies in laparoscopic Watson’s repair versus Nissen’s fundoplication

Abdelshahid¹,

Ammar²,

Nassar³

2018

Int Surg J

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Background: Hiatus Hernia (HH) and GERD are common upper gastroesophageal disorders, The Nissen`s fundoplication is one of the most effective and commonly used surgical techniques in management of both GERD and hiatus hernia (HH). many surgeons are searching for alternative procedures due to the mechanical obstructive effects of Nissen's fundoplication, one of these procedures is partial anterior fundoplication (Watson’s repair).Methods: Eighty two patients, diagnosed to have GERD and/or HH, were scheduled for present study for laparoscopic anti-reflux surgery. They were randomized to either Watson’s repair (anterior partial fundoplication) (group I) or Nissen repair (group II) in the period between June 2012 and March 2017. Forty two patients for group I and forty patients were included in group II. Group I had partial anterior fundoplication and group II had Nissen's fundoplication. Follow up for all patients included in our study was scheduled at (2, 4weeks and 3, 6, 12months postoperatively) both subjectively - using a standardized scoring system for reflux symptoms (heartburn, regurgitation and dysphagia), gas bloating and objectively-using esophago-gastroscopy at 6ms and 12ms postoperatively, esophageal manometry, 24hours PH monitoring at 6ms and 12ms post operatively.Results: Three cases were excluded from the study because they were converted to open procedure, one of group I and two of group II. Mean operative time was significantly shorter in group I. As regarding to reflux symptoms (heartburn and regurgitation) Nissen was significantly higher in control of reflux symptoms at 3months but at 6, 12months Nissen still higher but without a clear significant difference. On the opposite side dysphagia was significantly higher in Nissen group than in Watson group at 3months and remained higher at 6,12months but with no significant difference, also gas related symptoms were higher in Nissen group than in Watson group all the time of follow up. Objectively, esophagitis improved to a similar extent in both groups. Watson was less effective in improving LES characters, and 24hours PH parameters in comparison to Nissen group but without any significant difference in both groups.Conclusions: Partial anterior fundoplication (Watson repair) can be safe, effective and simple alternative procedure for Nissen's fundoplication with less obstructive symptoms and complications.

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“…However, long-term results after Thal fundoplication described the recurrence of reflux in patients with central nervous system disorders [4]. Recently, the laparoscopic approach was introduced in pediatric surgery and was beneficial [5][6][7][8][9][10]. Especially, laparoscopic fundoplication in severely scoliotic children could allow improved operative visibility and easier access to the hiatus in comparison with the open approach [5].…”

mentioning

confidence: 99%

Laparoscopic modified Thal fundoplication for gastroesophageal reflux in a patient with severe scoliosis and sliding esophageal hiatal hernia

Tatekawa

Kanehiro

Nakajima

2006

Journal of Pediatric Surgery

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Anterior partial fundoplication for gastroesophageal reflux disease

Cited by 10 publications

References 33 publications

Ten-year clinical outcome of a prospective randomized clinical trial of laparoscopic Nissen versus anterior 180° partial fundoplication

Ten-year clinical outcome of a prospective randomized clinical trial of laparoscopic Nissen versus anterior 180° partial fundoplication

Perioperative manometric studies in laparoscopic Watson’s repair versus Nissen’s fundoplication

Laparoscopic modified Thal fundoplication for gastroesophageal reflux in a patient with severe scoliosis and sliding esophageal hiatal hernia

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