Fate of Nissen fundoplication after 20 years. A clinical, endoscopical, and functional analysis.

Luostarinen, Markku; Isolauri, J; Laitinen, Jukka; Koskinen, Matti; Keyriläinen, O; Markkula, H; Lehtinen, E; Uusitalo, A

doi:10.1136/gut.34.8.1015

Cited by 142 publications

(66 citation statements)

References 36 publications

(3 reference statements)

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“…The decreased postoperative morbidity involved in this approach should not change the indications or evaluations for surgery, but does make this option more attractive for some patients whose alternative would be long-term medical therapy (106). The long-term durability of laparoscopic antireflux surgery remains incompletely defined, but several studies of the open technique have reported adequate control of disease for as long as 20 yr (107,108). Another study suggested a deterioration in both LES pressure and endoscopic histology back toward the presurgical level 5-6 yr postoperatively (109).…”

Section: Antireflux Surgery Performed By An Experienced Surgeon Is mentioning

confidence: 99%

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

DeVault¹

1999

The American Journal of Gastroenterology

143

178

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PREAMBLEGuidelines for the diagnosis and treatment of gastroesophageal reflux disease (GERD) were published by the American College of Gastroenterology in 1995 (1). These and other guidelines undergo periodic review. Significant advances have been made in the area of GERD over the past several years, leading us to review and revise our previous guidelines statements. These advances have included an increase in our comfort with the chronic use of proton pump inhibitors and an increased acceptance of laparoscopic antireflux surgery, among other factors. These and the original guidelines are intended to apply to all physicians who address GERD and are intended to indicate the preferable, but not only acceptable, approach. Physicians must always choose the course best suited to the individual patient and the variables that exist at the moment of the decision. These guidelines are intended to apply to adult patients with the symptoms, tissue damage, or both that result from the reflux of gastric contents into the esophagus. For the purpose of these guidelines GERD is defined as chronic symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.Both these and the original guidelines were developed under the auspices of the American College of Gastroenterology and its Practice Parameters Committee, and approved by the Board of Trustees. The world literature was reviewed extensively for the original guidelines and was once again reviewed using the National Library of Medicine database. All appropriate studies were reviewed and any additional studies found in the reference list of these papers were obtained and reviewed. Evidence was evaluated along a hierarchy, with randomized controlled trials given the greatest weight. Abstracts presented at national and international meetings were only used when unique data from ongoing trials were presented. When scientific data were lacking, recommendations were based on expert consensus. During preparation, the guidelines were reviewed

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Section: Antireflux Surgery Performed By An Experienced Surgeon Is mentioning

confidence: 99%

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

DeVault¹

1999

The American Journal of Gastroenterology

143

178

View full text Add to dashboard Cite

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“…1,2 Conventional surgical management of gastroesophageal reflux disease with fundoplication is effective, durable, and in some aspects superior to medical therapy. [3][4][5][6] The ability to perform this procedure laparoscopically may further expand the applications of this treatment. Laparoscopic fundoplication has been shown to be safe and as effective as open fundoplication, and has become the preferred surgical option.…”

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confidence: 99%

Transition From Open to Laparoscopic Fundoplication

et al. 1999

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“…Los autores resaltaron el hecho que los síntomas de recurrencia pueden aparecer a más de 10 años después de la cirugía. Diez años después, Loustarinen de Finlandia, publicó 2 estudios de seguimiento de largo plazo 2,3 , cuyos resultados aparecen en la Tabla 1. Destaca el importante hecho que la fundoplicatura se va deteriorando con el tiempo, evidenciado por aumento progresivo de los síntomas de RGEP, esofagitis endoscópica, desarrollo de esófago de Barrett y aumento de la positividad del pH de 24 h. Estos estudios reforzaron la necesidad de, por una parte, controlar a los pacientes operados a largo plazo y por otra parte, la necesidad de efectuar controles objetivos para evaluar la real efectividad de la cirugía antirefl ujo.…”

Section: Resultsunclassified

“…Aún así, destaca el hecho ya descrito anteriormente en la cirugía laparotómica [1][2][3]13 , que esta fundoplicatura se va deteriorando con el tiempo. Esto se evidencia por el hecho, que un quinto de los pacientes presentan pirosis nuevamente que necesita de ser tratada con anti secretores orales.…”

Section: Discussionunclassified

Resultados alejados (10 años) de la fundoplicatura de Nissen en pacientes con reflujo gastroesofágico patológico sin esófago de Barrett

2012

Rev Chil Cir

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Review of long term results of Nissen fundoplicationBackground: Laparoscopic Nissen fundoplication is the most commonly used surgical technique for the treatment of gastroesophageal refl ux. Method: This is a review of publications about long term results of the technique. Results: Thirteen papers reporting results at 10 years were identifi ed. Heartburn recurrence was documented in 20 to 23% of patients. Symptoms such as bloating were reported by 47% of patients after the fundoplication. After 10 years, 25% of patients started to use proton pump inhibitors and a new surgical intervention was required by 9%. In eight reports, there was no objective assessment of surgical results. In one report only few cases had a radiological assessment. Only in three European reports and one report by us, endoscopy and esophageal manometry were performed. Conclusions: It is concluded that Nissen fundoplication achieves a relief of gastroesophageal refl ux at 10 years in 75% of patients. There is a paucity of reports carrying out objective assessments of surgical results.

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Fate of Nissen fundoplication after 20 years. A clinical, endoscopical, and functional analysis.

Cited by 142 publications

References 36 publications

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

Transition From Open to Laparoscopic Fundoplication

Resultados alejados (10 años) de la fundoplicatura de Nissen en pacientes con reflujo gastroesofágico patológico sin esófago de Barrett

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