The effect of total and anterior partial fundoplication on antireflux mechanisms of the gastroesophageal junction

Chrysos, Emmanuel; Athanasakis, Elias; Pechlivanides, George; Tzortzinis, Anastasios; Mantides, Apostolos; Xynos, Evaghelos

doi:10.1016/j.amjsurg.2003.10.023

Cited by 36 publications

(44 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the past year, two RCTs 31,33 have been published comparing 180˚ LAF to LNF in addition to the three trials 30,32,34 that had been reported earlier, with 5-year results of two of these trials reported as well. 9,31 Some of these individual trials were inconclusive as they were underpowered, and hence too small to identify significant differences regarding the most important determinants of successful antireflux surgery: objective reflux control, dilatations for dysphagia and the need for surgical reintervention.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

et al. 2013

View full text Add to dashboard Cite

Running headAnterior 180˚ versus Nissen fundoplication for GERD: a meta-analysis Word count 3161Archived at the Flinders Academic Commons: http://dspace.flinders.edu.au/dspace/ 2 Mini-AbstractSystematic review and meta-analysis demonstrating that laparoscopic anterior 180˚ fundoplication (180˚ LAF) reduces short and longer-term dysphagia and gas-related symptoms compared to laparoscopic Nissen fundoplication, with similar reflux control, dilatations and reoperation rate. These results lend level 1a support for the use of 180˚ LAF for the surgical treatment of GERD.Archived at the Flinders Academic Commons: http://dspace.flinders.edu.au/dspace/ 3 Structured abstractObjective: To compare short and longer-term outcome after laparoscopic anterior 180˚ fundoplication (180˚ LAF) versus laparoscopic Nissen fundoplication (LNF). Summary of background data:LNF is currently the most frequently performed surgical therapy for GORD. Alternatively, 180˚ LAF has been alleged to reduce troublesome dysphagia and gas-related symptoms, with similar reflux control. Methods Conclusions:At one and five years, dysphagia and gas-related symptoms are lower after 180˚ LAF compared with LNF, and esophageal acid exposure and esophagitis are similar, with no differences in heartburn scores, patient satisfaction, dilatations and reoperation rate.These results lend level 1a support for the use of 180˚ LAF for the surgical treatment of GERD.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Next the small number of studies included in this meta-analysis remains a largely unavoidable limitation of this and many other meta-analyses conducted in surgical fields [48,49]. Lastly, pooling of different types of LAF and LPF (360°, 270°, 180°, 120°, and 90°) [13][14][15][16][17][18][19][20][21] may be considered a potential limitation. As the follow-up for most of these RCTs has been short, the true incidence of dysphagia, recurrence of reflux symptoms, patient's satisfaction, and redo surgery is not truly known.…”

Section: Limitationsmentioning

confidence: 89%

“…Based on this agreement, a total of nine RCTs [13][14][15][16][17][18][19][20][21] involving a total of 840 patients (LAF = 425, LPF = 415) were considered suitable for meta-analysis. Except for three trials [19][20][21], none of the other trials achieved the Jadad score of more than 2 ( Table 1).…”

Section: Study Selection/characteristicsmentioning

confidence: 99%

Laparoscopic Anterior Versus Posterior Fundoplication for Gastro‐esophageal Reflux Disease: A Meta‐analysis and Systematic Review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Nissen is classical antireflux surgery, but dysphagia incidence is higher, approximately 5%-17% [8] .There are some reports that describe the complication of partial fundoplication is lower than Nissan, but the clinical effect is alike [14,15] . We adopted method of Toupt or Dor, according to symptom and age.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of esophageal hiatal hernia

Ma¹,

Tian²,

Chen³

et al. 2011

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

View full text Add to dashboard Cite

This study was to appraise safety and feasibility of laparoscopic approach and investigate the clinical effects of laparoscopic tension-free repair of esophageal hiatal hernia using mesh. From August 2006 to July 2009, 24 patients with esophageal hiatal hernia underwent laparoscopic repair. Twenty-three patients received laparoscopic tension-free repair using mesh, at the same time, Toupet or Dor partial fundoplication was performed. One patient was converted to open surgery. The average operating time was 90 min (70-210 min) and the blood loss was between 10-110 mL. There was no death. The mean postoperative hospital stay was 5 days (3-30 days). During a follow-up period of 12-20 months (mean 15 months), there was no recurrence of the hernia, and no complication with use of mesh. The present study suggested that laparoscopic approach was secure and minimally invasive operation for esophageal hiatal hernia and the use of mesh could reduce recurrence rate.

show abstract

The effect of total and anterior partial fundoplication on antireflux mechanisms of the gastroesophageal junction

Cited by 36 publications

References 33 publications

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

Laparoscopic Anterior Versus Posterior Fundoplication for Gastro‐esophageal Reflux Disease: A Meta‐analysis and Systematic Review

Laparoscopic repair of esophageal hiatal hernia

Contact Info

Product

Resources

About