Outcome of laparoscopic anterior 180-degree partial fundoplication for gastroesophageal reflux disease

Watson, David I.; Liu, Jun Feng; Devitt, Peter G.; Game, Philip A.; Jamieson, Glyn G.

doi:10.1016/s1091-255x(00)80091-8

Cited by 37 publications

(44 citation statements)

References 29 publications

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“…Total length of the wrap measured approximately 3 cm. The operation techniques are described in detail elsewhere [13,14,15]. Surgeons were experienced independent operators who had been performing >15 antireflux operations in each of both techniques per annum before the start of the study.…”

Section: Methodsmentioning

confidence: 99%

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Raue

Ordemann

Jacobi³

et al. 2011

Dig Surg

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Introduction: Fundoplication techniques for treatment of gastroesophageal reflux are discussed concerning impairments and success. This randomized trial was conducted to compare Nissen’s wrap and the anterior partial technique (Dor) concerning patients’ quality of life (QoL) and functional data after a mid-term follow-up. Methods: In a 24-month period, 64 patients were equally randomized into group A (Nissen’s fundoplication) and group B (180° anterior partial fundoplication). After a mean follow-up of 18 months, all patients were examined and interviewed using standardized QoL questionnaires (Gastrointestinal Quality of Life Index), Visick score, 24-hour pH-metry and esophageal manometry. Data of 57 patients (group A: 27, group B: 30) could be analyzed. Results: After partial fundoplication, 9 patients (30%) stated the operative results were worse than perfect. Only 2 patients (7%) evaluated the outcome after Nissen’s fundoplication as unsuccessful (p = 0.04). However, postoperative Gastrointestinal Quality of Life Index showed no differences between groups (p = 0.5). Additionally, functional data were not different (DeMeester 10 vs. 12, p = 0.17, and lower esophageal sphincter pressure 13 vs. 12 mm Hg, p = 0.5). Conclusion: The anterior partial fundoplication technique did not lead to disadvantages in postoperative QoL, physiological function and reflux control when compared to Nissen’s approach in a mid-term follow-up.

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Section: Methodsmentioning

confidence: 99%

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Raue

Ordemann

Jacobi³

et al. 2011

Dig Surg

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“…It seems beyond any doubt that fewer troubles and complaints of rectal flatulence follows a partial fundoplication compared to a total wrap [96][97][98][99][100][101][102] . In a recent randomized clinical trial the question was addressed whether there are important differences between an anterior and a posterior partial fundoplication in terms of reflux control and side effects [103] .…”

Section: Are All Partial Fundoplications Followed By the Same Results?mentioning

confidence: 99%

Therapy of Gastroesophageal Reflux: Evidence-Based Approach to Antireflux Surgery

Lundell

2007

Dig Dis

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Background: Due to the chronic, relapsing nature of gastroesophageal reflux disease, lifelong therapeutic options have to be considered and recommended in many patients. Accordingly, surgical repair has to be evaluated based on modern, evidence-based methodologies. Methods: A careful review has been carried out of the relevant surgical literature also including trials incorporating direct comparisons between medical and surgical therapies. The outcome of such a survey has been structured according to the grading of evidence from highest grade I to the lowest III. Results: Grade I evidence exists to show that antireflux surgery is more effective than proton pump inhibition in the control of reflux-related symptoms. Side effects are burdening surgical repair, many of which do not decrease over time. Data are not consistent to show any benefit of surgery whenever health economic outcomes are required. Minor differences are in favor of laparoscopic operations and it does matter who is doing the operation and how the repair is completed. Better data are requested to assess the true long-term efficacy (>10 years) of corresponding operations. Conclusion: Antireflux surgery is an effective and durable therapeutic modality in the long-term management of gastroesophageal reflux disease.

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“…Diese Problematik wurde in 2 prospektiv randomisierten Studien untersucht. Während in der Studie von Watson et al [27] der Vergleich einer laparoskopischen AHFP (n=54) mit einer laparoskopischen Nissen-Fundoplikatio (n=53) nach 6 Monaten signifikant geringere Dysphagieraten zeigte, ergab sich in der Studie von Laws et al [16] diesbezüglich kein signifikanter Unterschied zwischen Patienten, die in der Technik nach Toupet (n=16) operiert worden waren im Vergleich zu solchen, die eine Vollmanschette (n=23) bekommen hatten. Beide Studien sollten aber aufgrund ihrer geringen Fallzahl und kurzen Nachbeobachtungszeit nicht überinterpretiert werden.…”

Section: Funktionelle Einjahresresultate Nach Antirefluxchirurgieunclassified

“…Nur 15% fixieren die Manschette an beiden Zwerchfellschenkeln. Einzelne der mitgeteilten Modifikationen erinnern eher an die Technik der posterioren 180°-Fundoplastik nach Guarner [11] als an die Original-Toupet-Technik [24].Auch die von einzelnen Kliniken beschriebene Technik der AHFP scheint eher einer 120°-Fundoplikatio nach Watson et al [27] als einer echten anterioren 180°-Fundoplicatio zu entsprechen. Diesen technischen Details sollte künftig größere Aufmerksamkeit geschenkt werden.…”

Section: Wahl Des Operationsverfahrensunclassified

Antirefluxchirurgie in Deutschland Ergebnisse einer repräsentativen Umfrage mit Analyse von 2.540 Antirefluxoperationen

Hüttl

Höhle

Meyer

et al. 2002

Chirurg

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Outcome of laparoscopic anterior 180-degree partial fundoplication for gastroesophageal reflux disease

Cited by 37 publications

References 29 publications

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Therapy of Gastroesophageal Reflux: Evidence-Based Approach to Antireflux Surgery

Antirefluxchirurgie in Deutschland Ergebnisse einer repräsentativen Umfrage mit Analyse von 2.540 Antirefluxoperationen

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