Mechanical consequences of short gastric vessel division at the time of laparoscopic total fundoplication

Engström, Christer; Blomqvist, Anne; Dalenbäck, Jan; Lönroth, Hans; Ruth, Magnus; Lundell, Lars

doi:10.1016/j.gassur.2004.02.001

Cited by 22 publications

(16 citation statements)

References 34 publications

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“…The present authors have previously reported subtle manometric differences between the two study groups, offering a physiological background to a potential difference in functional outcome 23 , but it appears that these differences in lower oesophageal sphincter response to gastric distension with air do not translate into important and clinically relevant functional correlates.…”

Section: Discussionmentioning

confidence: 65%

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Mardani

Lundell

Lönroth

et al. 2008

British Journal of Surgery

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Section: Discussionmentioning

confidence: 65%

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Mardani

Lundell

Lönroth

et al. 2008

British Journal of Surgery

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“…This fact is further proven by Engstrom [30] in her RCT which involves 24 patients undergoing laparoscopic Nissen fundoplication divided into 2 groups, with or without short gastric divisions. The authors found no difference in the rate of dysphagia or reflux control in either groups.…”

Section: Discussionmentioning

confidence: 86%

Meta-analysis of laparoscopic posterior and anterior fundoplication for gastro-oesophageal reflux disease

Subramanya¹,

Hossain

Khan

et al. 2010

IEEE/ICME International Conference on Complex Medical Engineering

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Although laparoscopic posterior (Nissen) fundoplication (LPF) has the proven efficacy for controlling gastro-oesophgeal reflux surgically, there remain problems with postoperative dysphagia and the inability to belch or vomit. To decrease some of these postoperative complications, laparoscopic anterior fundoplication (LAF) was introduced. The aim of this study was to conduct a meta-analysis of randomized controlled trials (RCTs) to investigate the merits of LPF vs LAF for the treatment of gastro-oesophageal reflux disease (GORD). A search of Medline, Embase, Science Citation Index, Current Contents and Pubmed databases identified all RCTs comparing different types of laparoscopic posterior and anterior fundoplications published in the English Language between 1990 and 2008. The eight variables analysed included operative time, overall complications, rate of conversion to open, re-do operative rate, dysphagia score, heartburn rate, Visick grading of satisfaction and overall satisfaction. Five RCTs totalling 556 patients (LAF=279, LPF=277) were analysed. The analysis showed trends favouring LPF in terms of overall complication rate, conversion rate, incidence of postoperative heartburn and re-do operation rate. There was significant improvement in the postoperative satisfaction score in terms of reflux symptoms favouring LPF while there was significant reduction in the dysphagia score favouring LAF. No difference was noted in operating time and Visick's grading of satisfaction between the two groups. Based on this meta-analysis, LPF is associated with fewer complications, decreased rate of conversion, heartburn rate, Manuscript submitted by : Prof Muhammed Ashraf Memon. M. S. Subramanya, MBBS, MRCS is with the 978-1-4244-6843-0/10/$26.00 (c )2010 IEEE 270re-operation rate and significantly higher overall satisfaction rate for controlling GORD symptoms. However the LAF was associated with a significantly lower incidence of dysphagia compared to its posterior counterpart. We therefore conclude that LPF is a better alternative to AFP at the expense of higher dysphagia rate.

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“…A further trial published 10-year follow-up data and analysed postoperative oesophageal manometry separately. These publications were also combined 20,25,26 . In total, 388 laparoscopic Nissen fundoplications were included, 194 without SGV division and 194 with SGV division.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels

Markar

Karthikesalingam

Wagner

et al. 2011

British Journal of Surgery

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Mechanical consequences of short gastric vessel division at the time of laparoscopic total fundoplication

Cited by 22 publications

References 34 publications

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Meta-analysis of laparoscopic posterior and anterior fundoplication for gastro-oesophageal reflux disease

Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels

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